CAUZIONE
FATTURA
TAXI
ALLOGGIO
Surname / Full address
Name
Nationality DOB / E-mail
Occupation / Phone
Where did you hear about the school? / Emergency contact +phone
Registration fee: 30€
I register to a course Standard 15:180€/week1 or Standard Plus 20:290€/week1 for the following weeks:
07/05
W 01 / 14/05
W 02 / 21/05
W 03 / 28/05
W 04 / 04/06
W 05 / 11/06
W 06 / 18/06
W 07 / 25/06
W 08 / 02/07
W 09
09/07
W 10 / 16/07
W 11 / 23/07
W 12 / 30/07
W 13 / 06/08
W 14 / 13/08
W 15 / 20/08
W 16 / 27/08
W 17 / 03/09
W 18
10/09
W 19 / 17/09
W 20 / 24/09
W 21 / 01/10
W 22 / 08/10
W 23 / 15/10
W 24 / 22/10
W 25 / 29/10
W 26 / 05/11
W 27
My current level / None / A1 / A2 / B1 / B2 / C1 / C2
Arrival date & time: ______Flight no.:______
Specify airport No pickup Pickup
Depart. date & time: ______Flight no.: ______
Specify airport No pickup Pickup / No accommodation
Host family single room with breakfast
Single room in shared apartment
Studio apartment
Other accommodation type (please specify):
______
Total amount I will settle: registration fee + tuition fee (– discount if applicable) ______€
Please indicate the type of discount you are entitled to (if applicable): ______To enrol, I pay now 50% of the
above “total amount”. I will settle the remaining 50% at latest on the first day of class. I pay the above sumvia:
PayPal® ID: (please add 3% for processing fees)
money transfer (Western Union)
bank transfer on the IBAN: IT61X0513216400702570378916 - Swift: BPVIIT31702
BANCA NUOVA - GRUPPO BANCA POPOLARE DI VICENZA, Piazza Sant’Agostino, 16 - 91100 Trapani
I join to this application form the receipt of payment and the Italian test. I authorise Scuola Virgilio to process my personal data solely for its internal use. With my signatureI confirm that I have read the conditions hereafter and also:
- I acknowledge that the amount I am settlingis non-refundable;
- I declare that I am of legal age in my country of origin or have been authorised by my parents (see signature).
Date______Signature______
Hours of lessons taught per week (per day):Standard course: 15 hours (3 hours/day) for 4 up to 9 students – 12,5 hours (2,5 hours/day) for 3 students – 10 hours (2 hours/day) for 2 students – 6 hours (1,5 Monday to Thursday) for 1 student. Standard Plus course: the above plus 5 hours per week for 2 up to 9 students (1h15’ Monday to Thursday);the above plus 4 hours (1h Monday to Thursday) for only 1 student. Classes are arranged based on each student’s knowledge of the Italian language. Closing days for public holidays: June 2, August 15, November 1st. At least 50% tuition time for these days is recuperated within the same week.Refund terms:If you cancelup toeight days before course start (a Sunday)the school keeps the amount above, ie. 50% of the total due for registration and tuition fees.If you cancel seven days or less before course start, you must pay 100% of the tuition fees and will not be entitled to any discount, even if you do not attend all or part of the course for whatsoever reason.
1Ifyou register for only one week, please add a 20€ extra fee: 200€ for a Standard course and 310€ for a Standard Plus course.
Scuola Virgilio Soc. Coop. - Via Bonaiuto, 20 - 91100 Trapani (TP), Italia - P. IVA: IT02428030817
Tel. +39.0923.360804 -