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Home Tuesday 07 October 2008

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> If you feel like you need more information before booking a course, just fill out this form and we will try to answer all your questions in 24 hours ! Last Name : * First Name : * Age : * Sex : M F Address : *   Zip code : * City : * Country : * Telephone 1 : Telephone 2 : E.mail : * What level of French do you have? ? (more) None Complete Beginner Beginner Elementary Intermediate Advanced I don't know yet Which module are you interested in ? (en savoir plus) None Basic Module Barcelona Module Business Module Sports Module Golf Sports Module Equitation Sports Module Sailing "A la carte" Module Period : None 1 month 2 month 4 month 8 month Other If other : Starting : Do you plan on coming : None Alone Group With a group of People Type of lodging : With a roommate in a two-bedroom With a roommate in a studio Individual apartment With a host-family I have already a lodging You would like to (choose as many as desired) : Receive our complete information packet Obtain a personal estimate with the module that you have choosen Be contacted by our staff (either by email or tel) Book a place and receive a complete inscription packet How did you learn about us ? Par internet : No Google Yahoo GoAbroad Other Other : Would you have any other questions or comments ? Yes, i want to receive for free and on a regular basis « LE POT », the newsletter of ALFMED... Our Offers Our Newsletter "LE POT" 66 Residents According to the 01/16/1978 law, you can have access and modify personal information. ALFMED respects the privacy of the users of this website. You may change or delete your details at any time, contact us.

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