OPERAPHILE COURSE
ENROLMENT
 
After you have filled in the form and pushed the send button, please insert your credit card details. 
Personal details.....
First Name
Last Name
Email
Telephone no.
Fax no
Address
City
Zip / Postal Code
State
Nation
Nationality
Profession
Date of birth (dd/mm/yyyy)
Sex Female     Male
Your language 
Emergency contact

OPERAPHILE start & end date

Course start date (dd/mm/yyyy)

Course end date (dd/mm/yyyy) 

Accommodation requested - [more info...]
  Single room Double room      
Apartment      
Family      
Mini-apartment      
Residence      
Hotel 2 star 3 star 4 star
Bareto Estate      
Chianti Vip      
Other solution

Do you have any allergies ?

Car park required ?

            Yes     No

Other information
Knowledge of Italian :
Pick-Up service :
Other information
How did you hear about our School ? through Consulate, Embassy
through Italian Institute of Culture
through private agency
through student fair
through search engine
ex-students
 other
 
Please send me some information regarding :

News about Learnitaly.com - The gateway to Italian culture and lifestyle
News about artandcooking.com - The gateway to Italian cookery
News about our new courses
News about our future programmes
Other

By signing the registration form or any other written form of registration, the participant accepts the "General Conditions of Participation".



The student authorizes the Soc. Dante Alighieri - Com. Siena to include her/his personal data on a mailing list for the purpose of enrolment. The student may at any time, in accordance with Italian law (art. 13, 675/96), request that her/his personal data be removed from the mailing list of the School.

dantealighieri.com