Study Italian in Italy, Italian Courses in Italy
Italiano
Courses
Special Language Courses
The Territory

Courses with Siena University
Università per
stranieri di Siena
 

COURSES TERRAMARE
APPLICATION FORM

Fill in the following form and clic on SEND.

Name*

Surname*

Address*

Profession

Date of birthday

Nationality*

Male

Female

Telephone*

Fax

E-Mail

Knowledge of Italian Language:

None

Some

Average

Good

I would like to enrol for the following course:

Starting date:

dd/mm/yyyy

Total weeks:

I would like to book the following accomodation:

from:

 

to:

Student apartment

Single room

Double room

Use of kitchen

 

Family

Single room

Double room

Whit breakfast

 

With halfboard

 

Hotel

Single room

Double room

Name of the hotel

Other possibilities, on request from the school within a reasonable period of time,
specifying the type of accomodation desired from the following:

Pick-Up service from the airport or station by private car

 

Methods of payment:

A deposit of € 150,00 is to be paid by bank trasfer.

 

Bank details are as follows:

Account no.

9061.40

Account holder:

Coop.va TerraMare

Bank branch and address:

Monte dei Paschi di Siena
Via Mura di Ponente
I-58015 Orbetello (GR)

Bankcode:

3231

Swift code:

PASCIT M M.

Iban code:

IT20Y 01030 72320 000 000 906 140

B.I.C. code

BROMITR 1 F 32

Final payment of the total sum can be made in the following ways:

  • Before arrival by means of a bank trasfer to our account;
  • On arrival directly to the school.
 

Information according to the art. 13 of the legislative decree (D.Lgs) 196/2003.
According to the D.Lgs 196 of 30/06/03 we inform you, that the personal data you voluntary give us by filling up this form will be automatized and/or papery treated in conformity with the regulations about the security of the D.Lgs 196/2003. They will be treated exclusively for what concern the management of you stay request and/or booking and they won't be either spread nor used for other purposes.

 
TERRAMARE - Soc. Cooperativa a.r.l. - Centro studio ligua italiana per stranieri
Via Volturno, 10 - 58015 Orbetello (GR) - ITALIA - P.Iva 01248740530
Tel. 0039.(0)564.850007 Fax: 0039.(0)564.850721
E-Mail: info@linguaterramare.com - infoterramare@tiscali.it
Design by Internet Train Orbetello

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