Intensive French Immersion Course 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
   
     
LANGUAGE EXPERIENCE
If you have some knowledge of French, please indicate your level according to the “Common European Framework of Reference for Languages”:

Estimated Level:

Absolute beginner
A1
A2
B 1
B 2
C 1
C 2

 

 


Mother tongue

 

Other languages

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 4,900 CHF 1,470 CHF 3,430
10 January – 24 January 2010 CHF 4,900 CHF 1,470 CHF 3,430
17 January – 31 January 2010 CHF 4,900 CHF 1,470 CHF 3,430
31 January – 14 February 2010 CHF 5,400 CHF 1,620 CHF 3,780
14 February – 28 February 2010 CHF 5,400 CHF 1,620 CHF 3,780
28 February - 14 March 2010 CHF 4,900 CHF 1,470 CHF 3,430
7 March - 21 March 2010 CHF 4,900 CHF 1,470 CHF 3,430
14 March - 28 March 2010 CHF 4,900 CHF 1,470 CHF 3,430
28 March - 11 April 2010 CHF 4,900 CHF 1,470 CHF 3,430
25 April - 9 May 2010 CHF 4,900 CHF 1,470 CHF 3,430
13 June - 27 June 2010 CHF 4,900 CHF 1,470 CHF 3,430
27 June - 11 July 2010 CHF 4,900 CHF 1,470 CHF 3,430
11 July - 25 July 2010 CHF 4,900 CHF 1,470 CHF 3,430
25 July - 8 August 2010 CHF 5,150 CHF 1,545 CHF 3,605
8 August - 22 August 2010 CHF 4,900 CHF 1,470 CHF 3,430
15 August - 29 August 2010 CHF 4,900 CHF 1,470 CHF 3,430
5 September – 19 September 2010 CHF 4,900 CHF 1,470 CHF 3,430
26 September – 10 October 2010 CHF 4,900 CHF 1,470 CHF 3,430
5 December – 19 December 2010 CHF 4,900 CHF 1,470 CHF 3,430
None      

French+Golf

14 DAYS

13 June - 27 June 2010 CHF 6,400 CHF 1,920 CHF 4,480
27 June - 11 July 2010 CHF 6,400 CHF 1,920 CHF 4,480
11 July - 25 July 2010 CHF 6,400 CHF 1,920 CHF 4,480
25 July - 8 August 2010 CHF 6,650 CHF 1,995 CHF 4,655
8 August - 22 August 2010 CHF 6,400 CHF 1,920 CHF 4,480
15 August – 29 August 2010 CHF 6,400 CHF 1,920 CHF 4,480
15 August – 29 August 2010 CHF 6,400 CHF 1,920 CHF 4,480
5 September – 19 September 2010 CHF 6,400 CHF 1,920 CHF 4,480
12 September – 26 September 2010 CHF 6,400 CHF 1,920 CHF 4,480
26 September – 10 October 2010 CHF 6,400 CHF 1,920 CHF 4,480
None      

French+Skiing

14 DAYS

3 January - 17 January 2010 CHF 5,500 CHF 1,650 CHF 3,850
10 January - 24 January 2010 CHF 5,500 CHF 1,650 CHF 3,850
17 January – 31 January 2010 CHF 5,500 CHF 1,650 CHF 3,850
31 January – 14 February 2010 CHF 6,000 CHF 1,800 CHF 4,200
14 February – 28 February 2010 CHF 6,000 CHF 1,800 CHF 4,200
28 February - 14 March 2010 CHF 5,500 CHF 1,650 CHF 3,850
7 March - 21 March 2010 CHF 5,500 CHF 1,650 CHF 3,850
14 March – 28 March 2010 CHF 5,500 CHF 1,650 CHF 3,850
None      

French+Hiking

14 DAYS

13 June - 27 June 2010 CHF 4,900 CHF 1,470 CHF 3,430
27 June - 11 July 2010 CHF 4,900 CHF 1,470 CHF 3,430
11 July - 25 July 2010 CHF 4,900 CHF 1,470 CHF 3,430
25 July - 8 August 2010 CHF 5,150 CHF 1,545 CHF 3,605
8 August - 22 August 2010 CHF 4,900 CHF 1,470 CHF 3,430
15 August - 29 August 2010 CHF 4,900 CHF 1,470 CHF 3,430
5 September - 19 September 2010 CHF 4,900 CHF 1,470 CHF 3,430
12 September - 26 September 2010 CHF 4,900 CHF 1,470 CHF 3,430
26 September – 10 October 2010 CHF 4,900 CHF 1,470 CHF 3,430
None      
  4 Week Courses Price Deposit Balance

Premier

(French+Culture/Recreation)

28 DAYS

28 March - 9 May 2010 CHF 9,800 CHF 2,940 CHF 6,860
13 June – 11 July 2010 CHF 9,800 CHF 2,940 CHF 6,860
5 September - 10 October 2010 CHF 9,800 CHF 2,940 CHF 6,860
None      

French+Skiing

28 DAYS

3 January -31 January 2010 CHF 11,000 CHF 3,300 CHF 7,700
28 February - 28 March 2010 CHF 11,000 CHF 3,300 CHF 7,700
None      

French+Golf

28 DAYS

13 June - 11 July 2010 CHF 12,800 CHF 3,840 CHF 8,960
5 September - 10 October 2009 CHF 12,800 CHF 3,840 CHF 8,960
None      
Short Courses Specials Price Deposit Balance

6-day Easter Special

1 April - 6 April 2010 CHF 2,100 CHF 630 CHF 1,470

7-day French+Hiking/Culture

27 June - 4 July 2010 CHF 2,450 CHF 735 CHF 1,715

7-day French+Culture

27 June - 4 July 2010 CHF 2,450 CHF 735 CHF 1,715

7-day French+Golf

27 June - 4 July 2010 CHF 2,450 CHF 735 CHF 1,715

7-day French+Skiing

3 January - 10 January 2010 CHF 2,750 CHF 825 CHF 1,925

 

None      
* Please Note : No classes 19th March, 2010 (Public Holiday)

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.

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