International House Berlin PROLOG
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Booking for a course in a language other than German


Thank you for your interest in IH Berlin PROLOG's language course. Please complete this form as precisely as possible so that we can authorise your order.

I would like to make a firm reservation for a foreign language course:

 

Language*:


Type of Course*:

 

• In order to book individual tuition (one-to-one lessons), please click here!


Level*:


Start Date*:

Duration*:

 

My knowledge of this language:

Self Evaluation*:

I have learnt this before

- for how long?


Comments:

 


Personal Data:

Title:

 Ms   Mr

First Name*:

Surname*:

Birth date*:

(Day, Month, Year)

Native Language*:

Country*:

Post Code*:

Town*:

Street*:

Telephone:

E-Mail*:

I have read and accepted the • terms and conditions

 


Agreement:

The registration cost is: 12,50 €

My place on the course will be resevered as soon as my payment
of 50 € has been recieved by IH Berlin PROLOG (• Our Bank Details).


 

   

 
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