Study Italian in Italy, Italian Courses in Italy

COURSES TERRAMARE
APPLICATION FORM

Fill in the following form and click on SEND.

Name*

Surname*

Address*

Profession

Day of birth

Nationality*

Male

Female

Telephone*

Fax

E-Mail

Knowledge of Italian Language:

None

Some

Average

Good

I would like to enroll 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

With 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 transfer.

 

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:

PASCITMMORB

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

  • Before arrival by means of a bank transfer 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 lingua italiana per stranieri
Via Roma, 42 - 58015 Orbetello (GR) - ITALIA - P.Iva 01248740530
Tel. 0039.(0)564.850007 - Fax 0039.(0)564.850721
E-Mail: info@linguaterramare.com