REGISTRATION FORM
French in the Country (details at www.frenchinthecountry.com)

TO USE THIS
===========

-- Select everything on this page (if unsure, look in the browser's main menu)
-- Copy this
-- Go to the "Contacting us" page on the website (e.g. by pressing the back button to return to one of the website's web pages)
-- Click on the e-mail link
-- Paste (what you just copied) into the blank, preaddressed e-mail
-- Type in the appropriate details
-- Send us the e-mail!


NAME AND CONTACT DETAILS
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(Some of these details help us to assess what would be an appropriate programme for you)

Name: 
Age:
Male [M] or Female [F]:
Address:
 



Telephone (evening) :
Telephone (daytime) :
Mobile :

Email address [if not sending us this by e-mail]:


LEVEL OF FRENCH
===============

[Please select from the following list, and type the appropriate letter beside the communication method]

A (AbsoluteBeginner ) - B (Beginner) - C (Lower Intermediate) - D (Higher Intermediate) - E (Advanced)

Speaking [A, B, C, D or E]:
Reading [A, B, C, D or E]:
Listening [A, B, C, D or E]:

Comments:





I/ WE WANT TO BOOK...
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Either Total Immersion Course (TIC) or Holiday with a pinch of French (HPF)

[Delete as appropriate]: TIC/HPF

From [date]:
To [date]:


Further information (of your aims, interests, ...) :

Upon receiving your requirements, we will send you a confirmation of prices and further details regarding your stay