Name:
Address and Tel.Fax In your Country:	**
Nationality:
E-mail Address:
Date of Birth:
Occupation, Company or University and its address:
Level of Spanish	Beginner   Elementary   Lower Intermediate Intermediate   Upper Intermediate Advanced I   Advanced II
How did you hear about the School?	Agent, (Please specify below) Argentine Embassy Former Argentina I.L.E.E. student Through my University or Company (Please specify below) Study Abroad Guidebook (Please specify below) Other (Please specify below)
A & B Spanish Schools	I Wish to Book Weeks Program A Program B (private classes) 2 hours a day 4 hours a day 6 hours a day 8 hours a day Program C (group plus private) Tango Program: Yes  No Medical Introductory Program: Yes  No Medical Spanish Program: Yes   No Internship: Yes   No Volunteer Work Yes   No
	I Wish to Start Classes (Dates) Arrival Data
Homestay	Yes   No
Breakfast and Dinner	Yes   No
Private Appartment	Yes  No
Airport pick-up Flight details
Please notify payment 3 weeks before commencement of program. NO REFUNDS ONCE PROGRAM STARTED