Booking form

If you are interested in our language courses, could you please fill in the following form (we guarantee that the information you provide will not be disclosed to any third parties):
First Name(s):
 Surname:
Address:
City:
 ZIP:
Country:
 Nationality:
Telephone no. (home):
 Telephone no. (work):
e-mail:
Job:
First language:
 Other languages known:
Knowledge of Italian:
 Reasons for wanting to learn Italian:
Type of accommodation:
 If Hotel, please indicate type:
Date of arrival in Bologna:
 Date of departure from Bologna:
Alternative date of arrival:
 Alternative date of departure: