COINED - Registration form - Learn Spanish in Costa Rica

COINED SPANISH SCHOOL IN COSTA RICA

info@intercoined.org

+1-800-897-9631

+55 13 3113 3989

+44 800-845-6693

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:: PERSONAL DETAILS

First Name	*
Last Name	*
Date of Birth
Gender	Male Female
Address
City
Province
Zip Code
Country
*Telephone Number
Mobile Phone
	(Format: [Country Code] [Area Code] [Number])
E-mail	*
How did you hear about COINED ?

:: SPANISH COURSE INFORMATION

Spanish Level	*
Mother Tongue	*
*Spanish Course*
Location	*
Number of Weeks	*
Start Date

:: TRAVEL INSURANCE

Do you have a Travel Insurance?	Yes No
Do you need COSTA RICA's Travel Insurance?	Yes No
Number of Weeks

:: COMMENTS AND/OR QUESTIONS


I accept the terms and conditions:

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STUDENT REVIEWS

"It has been a great experience! Spanish lessons were fun as well as teachers. In my opinion the best thing was to meet people from almost all parts of the world. ..."