Deutschkurs im Haus des Lehrers - home tuition in bamberg

Enrolment Form for German Home Tuition

You can send us this form on-line, fax (+ 49 - 951 - 204 474) or post it (address see at the end of this page).

Before you complete and submit this enrolment form please read our conditions and check the Visa regulations on Germany in your country [for general information check the site of the German foreign ministry ] .
Fill in your data and arrange for the payment of the deposit of EURO 150 via transfer or by credit card. In this case we suggest you make use of our encrypted data transfer service [Access to secure form ]
After receipt of your enrolment and the deposit, you will receive a confirmation of your acceptance to the course.
50% of the balance of the course and the private accommodation must have been paid two weeks prior to the course start.

	Fill in your data and arrange for the payment of the deposit of EURO 150 via transfer or by credit card. In this case we suggest you make use of our encrypted data transfer service [Access to secure form ]

Note: When pressing the submit button at the bottom of this page, you will automatically get a copy of the transferred data via E-mail. Please store this receipt or print it. You will receive confirmation from us within 72 hours.

1. Personal Data

Title: Mr. Mrs. Miss (required)
Last name: (required)	First name: (required)
Date of birth: (required)	Nationality: (required)
Company / University:	Profession:
Allergies: (required)	Hobbys:

2. Address

Street, house: (required)	City: (required)
P.O. Box (if relevant):	Postal Code: (required)
Country: (required)	E-mail: (required) please make sure that this address is correct!
Telephone: (required)	Fax:

3. Type of Course (required)

Home tuition:

Standard programme 20 private lessons + 30 practical lessons
with learning support per week - with half board

Standard programme 20 private lessons + 30 practical lessons
with learning support per week - with full board

Full immersion 35 private lessons + 25 practical lessons
with learning support per week - with half board

Full immersion 35 private lessons + 25 practical lessons
with learning support per week - with full board

Autumn Special 2009 - starting date November, 02 2009

Autumn Special 2009 - starting date November, 09 2009

Autumn Special 2009 - starting date November, 16 2009

Autumn Special 2009 - starting date November, 23 2009

4. When I start the course my level will be: (required)

A1 - No knowledge of German
A1 - Very little knowledge of German
A2 - Basic knowledge of German
B1 - Relatively good knowledge of German
B2 - Good knowledge of German
C1 - Very good knowledge of German
C2 - Excellent or nearly native speaker knowledge of German

Find details about the course levels on a separate page

Knowledge of further languages:

I am learning / I have been learning German with the following book...

Name of the book:

Chapter no.:

5. Duration of course (required)

from: - -

duration:

6. Deposit (required)

I would like to pay the deposit of EUR 150 by...

Credit Card (Visa, Master/Eurocard)

Please take payment from the following credit card:

first name, last name

EUR 150 deposit

credit card organization

- - - credit card number 16 digits

/ expire date

Bank transfer

I will make a bank transfer of EUR 150 net within the next 7 days to the following account:

Language Institut TREFFPUNKT Alexandra von Rohr Deutsche Bank AG Lange Strasse 37 D-96047 Bamberg IBAN: DE65 7607 0024 0808 8833 00 BIC (SWIFT Code): DEUT -DE-DB 762	or	Language Institut TREFFPUNKT Alexandra von Rohr Deutsche Bank AG Bank code: 760 700 24 Account number: 80 888 33 SWIFT Code: DEUT -DE-DB 762
* Note: The appropriate bank details depend on the Bank or/and your home country.

PayPal transfer

Note: we will send you the link for payment with your course confirmation. If you need any general information about paypal please contact www.paypal.com

7. Further information, questions or comments

If you have any questions or information that you would like to submit, write it in the box below.

Note: I understand the conditions. The payment of EUR 150 deposit will be effected within the next 7 days. I am aware that my enrolment is binding herewith.

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Contents: Alexandra von Rohr, German Language School TREFF PUNKT
- learn German where the language is spoken -
Last update 2009-12-14
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