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DUBLIN SUMMER SCHOOL, PO BOX 2659 DUBLIN 6 - IRELAND - TEL/FAX (3531) 4976980

email: spinolax@indigo.ie

 BOOKING FORM - FICHE D'INSCRIPCION - MODULO DI PRENOTAZIONE - HOJA DE

INSCRIPCION - ANMELDEFORMULAR

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 NAME/NOM/COGNOME/APELLIDO: 

 FIRST NAME/PRENOM/NOME/NOMBRE/VORNAME:

 AGE/ETA/EDAD/ALTER:                     NATIONALITY:  

MALE/FEMALE:               

 ADDRESS/INDIRIZZO/DIRECCION  

                                                                

                                                                

                                                         TEL:

 IN DUBLIN FROM/DE/DAL/VON:        2003  

                      UNTIL/A/AL/HASTA/BIS:  2003

 KNOWLEDGE OF ENGLISH:               

                                                                ( beginner/lower intermediate/intermediate/higher intermediate/advanced)

 WITH ACCOMMODATION:                ( Yes/No)

TYPE OF ACCOMMODATION:           ( FAMILY/OTHER)

TYPE OF PROGRAMME ( S2/S3/C1)  

DO YOU NEED AIRPORT TRANSFER IN DUBLIN ? YES/NO ( EUR 45.-/Transfer )

HOW DID YOU HEAR ABOUT US?   

 DATE:( DATA/FECHA/DATUM)        

 

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