Registration Form Fenix Language Institute Virtual Classroom

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Personal Information

 

  
*Name / Last Name
Gender:
Date of Birth:
Female Male
Month Day Year
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E mail 2 (optional):
    
   
*Address:
*City:
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*Country:
*Zip Postal code:
*Telephone (include area code)
 
 
Profession:
   
 
How did you find out about Fenix Virtual Classroom?
Level of Spanish:
Why Spanish?
Previous Spanish education
What is your first language?
Other language?
What are your objectives with the Spanish language?
Comments about your objectives:

Do you speak any other languages:

English > German > French > Italian > Japanese > Chinese > Portuguese> Russian

Other:

The following information is very important teaching you how to acquire the Spanish language

*Hobbies:

Read Hiking Languages Biking Shoping Internet Computers Cooking Movies

Travel Dancing Photography Music History Camping Writing Arts and crafts Magazines

Other hobbies:

Sessions in the Virtual Classroom

Number of Sessions in Virtual Classroom (specials rates for 3, 6, 12, 18 and 24 sessions)

Number of sessions
Method of payment:
(We will send your balance to your e mail)
Comments:
We will contact you soon. Sometimes spam filters block automated e mails. If you do not find the e mail in your inbox, please check your spam filter or bulk e mail folder.

Fenix Language Institute Zacatecas Virtual Classroom 2010