APPLICATION FORM

PERSONAL DATA

Knowledge of Italian:

None Poor Elementary Intermediate Advanced

Have you studied Italian previously? Yes     No

How long?

Why do you want to study Italian?

Where did you hear about our school?

COURSES

ACCOMMODATION

Special requirements

I have read the General Conditions and I accept them.

I declare that I paid (see Note 1):

Receipt of € 350,00, as a deposit.

Exam fees for "Roma 3" Certificate: Ele.IT  IT  IT single paper

Note 1:

HOW TO PAY: a) International Bank Cheque; b) Euro cheque; c) Bank Transfer to:

Associazione "Le Antiche Torri"

c/o BANCA DELLE MARCHE Ag. 049

62028 SARNANO (MC) ITALY

Bank account n. 3816

Bank International Codes: IBAN: IT47 S060 5569 1700 0000 0003 816

BIC BAMAIT3A (swift code) .

Please send a receipt of the payment to our fax number: +39 0733658662

Enrolment shall be considered valid upon receipt of a written confirmation from the Linguistic Centre.