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To apply for a course, please download the application form, fill it out and send it by mail or fax to: Club de Español - Monte Esquinza 26 y 28 - 28010 Madrid \| Fax. 91 319 21 31 If you wish to pre-register, please read the general conditions and fill out the pre-enrollment form below. Required fields are marked with an asterisk (*)

Surname *
First Name *
Date of Birth *
Address *
City *
Postal Code
Country *
Telephone *
E-mail *
Passport Number
Mother Tongue
How did you hear of Club de Español?
Course Type
What course type are you looking for? *	Super-intensive (28 classes/week) Intensive (20 classes/week) Semi-intensive (10 classes/week) Extensive Mini-group (6h/week) Extensive Mini-group (3h/week) One-to-one Tuition Two-Student Group D.E.L.E. Preparation Courses Summer Intensive Courses
Level
Estimated Level *	Beginner Basic Intermediate Advanced Proficient
Accommodation
Accommodation Services *	Host Family Shared Apartment Student Residence
Accommodation Services *	I'm not looking for accommodation

Arrival Day
Day of Departure
Total Days *

Course Type