Registration Form

Course: * Chosen course.
Starting: * Finishing: * Duration (in weeks): *

Chosen Accommodation: *	Type of room: Individual room Shared room
Date of arrival in Salamanca:	Date of departure from Salamanca:

Do you require the pick up service from the Madrid (Barajas) Airport: No Yes, on arrival only Yes,on arrival and departure
Do you require the pick up service from the Valladolid (Villanubla) Airport: No Yes, on arrival only Yes,on arrival and departure
Flight Nº:	Airline Company:	Time of arrival:

¿Do you have any allergies or medical conditions? If so, please state them:

In case of emergency please contact:

Telephone number: E-mail:

Observations:

I paid 150 € to reserve my place by: *

Bank Transfer Postal order

For my visa I need certification to be enrolled in its school by which I have paid to my course and advanced lodging:

Bank Transfer Postal order

When I send the registration form, I accept the General Conditions

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