Vacation Program Registration Form 2010

PERSONAL DETAILS

Mr Mrs Ms Dr
Surname


Gender

Medical conditions

First Name

Date of birth

Country of Birth

Nationality
Profession/Occupation
Dietary requirements:

Arriving in Crans-Montana by:

Car
Bus
Funicular
Unknown

Estimated arrival time:

 

    
CONTACT DETAILS

Address

City/Suburb

 State/Province

Country

 Postcode
 Mobile (incl country & area code)
E-mail
Tel (incl. country & area code)
 Fax (incl. country & area code)
EMERGENCY CONTACT DETAILS

Mr Mrs Ms Dr
Name

Tel (incl. country & area code)

Mobile (incl. country & area code)
Address
 City/Suburb
 Country
Postcode
    
     
LEVEL OF SKIING
 

SKI:

Absolute beginner
Beginner
Intermediate
Advanced

 

 


  
LEVEL OF GOLF
 

GOLF:

Absolute beginner
Beginner
Intermediate
Advanced

Handicap

 

 


  
ENROLMENT *It is possible to combine these courses, eg. 2-week Premier + 2-week French+Golf
COURSES, DATES AND PRICES FOR 2009 - 2010

 
  2 Week Courses Price Deposit Balance

Premier

(French+Culture/Recreation)

14 DAYS

3 January – 17 January 2010 CHF 3,700 CHF 1,110 CHF 2,590
10 January – 24 January 2010 CHF 3,700 CHF 1,110 CHF 2,590
17 January – 31 January 2010 CHF 3,700 CHF 1,110 CHF 2,590
31 January – 14 February 2010 CHF 4,200 CHF 1,260 CHF 2,940
14 February – 28 February 2010 CHF 4,200 CHF 1,260 CHF 2,940
28 February - 14 March 2010 CHF 3,700 CHF 1,110 CHF 2,590
7 March - 21 March 2010 CHF 3,700 CHF 1,110 CHF 2,590
14 March - 28 March 2010 CHF 3,700 CHF 1,110 CHF 2,590
28 March - 11 April 2010 CHF 3,700 CHF 1,110 CHF 2,590
25 April - 9 May 2010 CHF 3,700 CHF 1,110 CHF 2,590
13 June - 27 June 2010 CHF 3,700 CHF 1,110 CHF 2,590
27 June – 11 July 2010 CHF 3,700 CHF 1,110 CHF 2,590
11 July – 25 July 2010 CHF 3,700 CHF 1,110 CHF 2,590
25 July – 8 August 2010 CHF 3,700 CHF 1,110 CHF 2,590
8 August – 22 August 2010 CHF 3,700 CHF 1,110 CHF 2,590
15 August – 29 August 2010 CHF 3,700 CHF 1,110 CHF 2,590
5 September – 19 September 2010 CHF 3,700 CHF 1,110 CHF 2,590
26 September – 10 October 2010 CHF 3,700 CHF 1,110 CHF 2,590
5 December – 19 December 2010 CHF 3,700 CHF 1,110 CHF 2,590
None      

French+Golf

14 DAYS

13 June - 27 June 2010 CHF 5,200 CHF 1,560 CHF 3,640
27 June - 11 July 2010 CHF 5,200 CHF 1,560 CHF 3,640
11 July – 25 July 2010 CHF 5,200 CHF 1,560 CHF 3,640
25 July – 8 August 2010 CHF 5,450 CHF 1,635 CHF 3,815
8 August – 22 August 2010 CHF 5,200 CHF 1,560 CHF 3,640
15 August – 29 August 2010 CHF 5,200 CHF 1,560 CHF 3,640
5 September – 19 September 2010 CHF 5,200 CHF 1,560 CHF 3,640
12 September – 26 September 2010 CHF 5,200 CHF 1,560 CHF 3,640
26 September – 10 October 2010 CHF 5,200 CHF 1,560 CHF 3,640
None      

French+Skiing

14 DAYS

3 January - 17 January 2010 CHF 4,300 CHF 1,290 CHF 3,010
10 January - 24 January 2010 CHF 4,300 CHF 1,290 CHF 3,010
17 January – 31 January 2010 CHF 4,300 CHF 1,290 CHF 3,010
31 January – 14 February 2010 CHF 4,800 CHF 1,440 CHF 3,360
14 February – 28 February 2010 CHF 4,800 CHF 1,440 CHF 3,360
28 February - 14 March 2010 CHF 4,300 CHF 1,290 CHF 3,010
7 March - 21 March 2010 CHF 4,300 CHF 1,290 CHF 3,010
14 March – 28 March 2010 CHF 4,300 CHF 1,290 CHF 3,010
None      

French+Hiking

14 DAYS

13 June - 27 June 2010 CHF 3,700 CHF 1,110 CHF 2,590
27 June - 11 July 2010 CHF 3,700 CHF 1,110 CHF 2,590
11 July – 25 July 2010 CHF 3,700 CHF 1,110 CHF 2,590
25 July – 8 August 2010 CHF 3,950 CHF 1,185 CHF 2,765
8 August – 22 August 2010 CHF 3,700 CHF 1,110 CHF 2,590
15 August – 29 August 2010 CHF 3,700 CHF 1,110 CHF 2,590
5 September – 19 September 2010 CHF 3,700 CHF 1,110 CHF 2,590
12 September – 26 September 2010 CHF 3,700 CHF 1,110 CHF 2,590
26 September – 10 October 2010 CHF 3,700 CHF 1,110 CHF 2,590
None      
  4 Week Courses Price Deposit Balance

French+Culture

28 DAYS

28 March - 25 April 2010 CHF 7,400 CHF 2,220 CHF 5,180
13 June – 11 July 2010 CHF 7,400 CHF 2,220 CHF 5,180
5 September - 10 October 2010 CHF 7,400 CHF 2,220 CHF 5,180
None      

French+Skiing

28 DAYS

3 January -31 January 2010 CHF 8,600 CHF 2,580 CHF 6,020
28 February - 28 March 2010 CHF 8,600 CHF 2,580 CHF 6,020
None      

French+Golf

28 DAYS

13 June - 11 July 2010 CHF 10,400 CHF 3,120 CHF 7,280
5 September - 10 October 2010 CHF 10,400 CHF 3,120 CHF 7,280
None      
Short Courses Specials Price Deposit Balance

6-day Easter Special

1 April - 6 April 2010 CHF 1,650 CHF 495 CHF 1,155

7-day French+Hiking

27 June - 4 July 2010 CHF 1,850 CHF 555 CHF 1,295

7-day French+Culture

 27 June - 4 July 2010 CHF 1,850 CHF 555 CHF 1,295

7-day French+Golf

 27 June - 4 July 2010 CHF 2,600 CHF 780 CHF 1,820

7-day French+Skiing

 3 January - 10 January 2010 CHF 2,150 CHF 645 CHF 1,505

 

 None      
* Please Note : No classes on Swiss Public Holidays

PAYMENTS* All payments are to be made in Swiss francs (CHF)  
  Deposit on registration - 30% Balance of payment 30 days prior to commencement
TOTAL COST DEPOSIT BALANCE
     
Group discounts are applicable to a minimum of six clients enrolled in the same course and level. Please Enquire.
     
Payment -
By IBAN/BIC — Electronic Bank Transfer to:    
 
Account Name: Académie de français Crans-Montana Sàrl    
Account No: 0182-983948-91-1    
IBAN: CH 96 0483 5098 3948 9100 1    
BIC SWIFT Code: CRESCHZZ12A    
Bank: Credit Suisse 8070 Zurich Switzerland    
Branch: Crans–Montana, CH-3963    
     
*If payment is made by bank transfer, all bank fees and charges are the responsibility of the participant.
 
I have read and understood, and I agree to be bound by, the Terms and Conditions.
     
By Submitting the registration Form, I acknowledge that I have read and understood, and that I agree to be bound by, the Terms and Conditions
Alternatively, you may wish to post or fax this Registration Form. Please click for printable format.

Home | FAQs | Location | About Us | Courses | Accommodation and Meals | Dates & Prices | How To Book | Contact | academiedefrancais.com