APPLICATION FORM

This form can be submitted on-line (via e-mail) by typing into the fields below and clicking on the submit button.

Please enter the following information:

Name/s:
Last Name:
E-mail Address:
Address and Tel.Fax In your Country:
Nationality:
Sex:
Date of Birth:
Occupation, Company or University:
Level of Spanish: Beginner A1         Advance B2
Beginner A2         Superior C1
Intermediate B1    Improvement C2

In this course I need to practice my... writing     speaking    reading
listening   grammar
other (Please Specify)
I want to learn/improve my Spanish for... work   travel   study   pleasure

Type of course:

group - 2 hours/day (10 hours/week) 
group - 4 hours/day (20 hours/week) 
individual  
group + individual - 2 + 1
group + individual - 2 + 2
group + individual - 4 + 1
other (Please Specify)

Length of course:
Start date of course:
Lodging:

Yes              No
  Please Specify:

Transfer from the airport: Yes              No
  Please specify the information about your flight:
How did you hear about EDENA?
Date:
          

If you have any questions or you need more information, contact EDENA:
mail@edenainfo.com.ar