Booking a German course

I would like to book the following German course:

Course type:

please select STANDARD with 20 teaching hours per week STANDARD PLUS with 30 teaching hours per week DOUBLE with 24 teaching hours per week COMBI with 30 teaching hours per week DE LUXE with 40 teaching hours per week GALA with 4 teaching hours per week FIRST CLASS

Course length:

Weeks

Time frame:

01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 01 02 03 04 05 06 07 08 09 10 11 12 2008 2009 to 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 01 02 03 04 05 06 07 08 09 10 11 12 2008 2009

My knowledge of German:

Self assessment:

please select no very little little moderate good very good almost perfect

If you have taken our • Online Test, which test levels did you reach at least 80%?

Test level A1
Test level A2
Test level B1
Test level B2

I have already studied German:

please select never before at school at university at a language school

-Course length:

please select 1 2 3 4 5 6 7 8 9 10 11 12 weeks months years

Your accommodation in Berlin:

Preferred accommodation:

please select no accommodation single room with self-catering single room with breakfast single room with half-board double or twin room with self-catering* double or twin room with breakfast* double or twin room with half-board* single room double or twin room*

*Double or twin room,
sharing with:

If the accommodation I have selected is not available, I would like:

please select no accommodation single room with self-catering single room with breakfast single room with half-board double or twin room with self-catering* double or twin room with breakfast* double or twin room with half-board* single room double or twin room*

Do you smoke?

 Yes   No

How are you travelling to Berlin:

Date:

01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 01 02 03 04 05 06 07 08 09 10 11 12 2008 2009

Transfer:

please select no thanks only when I arrive  +60€ arrival and departure  +90€

Which airport or
train station will
you be arriving at?

Flight/Train number:

at o'clock

Comments:

E.g. allergies, dietary requirements, special requests

Personal Details:

Title:

 Ms.   Mr.

First name:

Surname:

Date of Birth:

01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 01 02 03 04 05 06 07 08 09 10 11 12 please select 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 (Day, Month, Year)

Native language:

Country:

Zip/Post Code:

City:

Street:

Phone:

e-mail:

I have read and accept the • Terms & conditions.

Remarks:

Registration fee: € 50

Between 29.06.2008 and 30.08.2008. the prices for
all courses and accommodation are 10% higher.

A place on a course will be reserved for me as soon as my
advance payment of € 150 reaches IH Berlin PROLOG. (• Bank details)