Autumn Term September - December 2008

Booking Form for Italian Course

1) Choose location:
London
Brighton

2) Choose Type of Course:

3) Choose Your Level:

4) Choose starting date:

5) Insert Course Code if you need to check the code of the course you want to book for, click on the Back button in your browser to return to timetable

TEST: If you require a test to confirm your level, please tick this box and
we will contact you to arrange it at your convenience (if you are booking for the Beginners 1 you don't need the test)

Your Details
Your Name Your Surname

Daytime Tel No Evening Tel No

Your Email Address

Payment:

I will pay by cheque (no additional charge)	I will pay by bank trasfer (no additional charge)	I will pay by debit/credit card (no additional charge)
Please send a cheque made payable to Affinitalia to our Administration Office: Affinitalia 20 Price's Court Cotton Row London SW11 3YR	Bank details: Bank: Barclays Branch: Holborn Sort Code: 20 41 41 Account Number: 201 59 107 Account Name: Affinitalia Reference: your surname	If you choose this option you can complete payment once you have submitted the form