Personal Details

1. Last Name: *
2. First Name: *
3. Nationality:
4. Native language:
5. Birth date:
   Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 31 31 Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dic Year 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933
6. Age:
7. Gender:
   Male Female
8. Passport #
9. Parent´s Name
   (or spouse)
10. Parent´s Phone Number
    (or spouse):
11. Emergency phone number:
12. Home Adress: *
13. City: *
14. Zip Code: *
15. State: *
16. Country: *
    select your countryAFGANISTANALBANIAALGERIAANDORRAANGOLAANTIGUAANTILLASARGENTINAARMENIAARUBAAUSTRALIAAUSTRIAAZERBAIJANBAHAMASBAHREINBANGLADESHBARBADOSBELGIUMBELIZEBELORUSSIABENINBERMUDABOLIVIABONAIREBOSNIA HERZEGOVINABOTSWANABRAZILBRITISH GUYANABULGARIABURKINA FASOBURMABURUNDICAMBODIACAMEROONCANADACAPE VERDECAYMAN ISLANDSCHILECHINACOLOMBIACOSTA RICACROATIACUBACURAÇAOCYPRUSCZECH REPUBLICDEMCR.REP. OF CONGODENMARKDOMINICADOMINICAN REPUBLICDUTCH ANTILLESECUADOREGYPTEL SALVADORESTONIAETHIOPIAFEROE ISLANDSFIJI ISLANDSFINLANDFRANCEFRENCH GUINEAFRENCH POLYNESIAGABONGAMBIAGEORGIAGERMANGHANAGIBRALTARGREECEGUADALUPE ISLANDGUAMGUATEMALAGUINEA BISSAUGUINEA ECUATORIALGUYANAHAITIHAWAIIHOLLANDHONDURASHONG KONGHUNGARYICELANDINDIAINDONESIAIRANIRAQIRELANDISRAELITALYIVORY COASTJAMAICAJAPANJORDANKAZAKHSTANKENYAKIRIBATIKUWAITKYRGYZ REPUBLICLATVIALEBANONLIBYALIECHTENSTEINLITHUANIALUXEMBOURGMACEDONIAMADAGASCARMALAWIMALAYSIAMALTAMARTINICAMAURITANIAMEXICOMICRONESIAMOLDOVAMONACOMONGOLIAMORROCONAMIBYANEPALNETHERLANDSNEW ZEALANDNICARAGUANIGERIANORWAYNUEVA CALEDONIAOMANPAKISTANPALESTINEPANAMAPARAGUAYPERUPOLANDPORTUGALPUERTO RICOQATARREP. OF MALDIVESREP. OF CONGOREUNION ISLANDSROMANIARUSSIAS.V. & GRANADINASSAUDI ARABIASENEGALSERBIA-MONTENEGROSEYCHELLES ISLANDSSIERRA LEONASINGAPORESLOVAKIASLOVENIASOUTH AFRICASOUTH KOREASPAINSRI-LANKASt. KITTSSt. MARTEENSUDANSURINAMSWAZILANDSWEDENSWITZERLANDSYRIATAIWANTANZANIATHAILANDTHE PHILIPPINESTHE UNITED KINGDOMTHE UNITED STATESTOGOTONGATRINIDADTUNISIATURKEYTURKMENISTANTURKS & CAICOS ISLUGANDAUKRAINEUTD ARAB EMIRATESUNITED KINGDOMUNITED STATESURUGUAYUSAUZBEKISTANVANUATUVENEZUELAVIETNAMVIRGIN ISLANDSWEST INDIESYEMENYUGOSLAVIAZAMBIAZIMBABWE
17. Phone number: (country/city dial number)
18. Fax:
19. Email: *
20. Work number:
21. Occupation:
22. Address in Spain during the ENFOREX course

Course Selection

Please select the course you would like to take and fill out the rest of fields.

IMPORTANT: Options often vary by city and course. If you are not sure of the options available, place your mouse over the OPTIONS LINK next to each field.

1. Choose a Course:
   Courses Intensive & Super Intensive Long Duration Course Semester/ Year/ Foundation Course One on One/ Mini Group/ Executive DELE Exam Preparation Spanish + Literature/ History/ Art Business Spanish Spanish + Internship Spanish Teacher Course Spanish Teacher Seminar-Spring Spanish Teacher Seminar-Summer Christmas Program 50+ Spanish Program Spanish + Flamenco Spanish + Tennis/ Golf Medical Spanish Course Spanish for Engineers
2. City/School:
   City/School Alicante Barcelona Cadiz Granada Madrid Malaga Marbella Pamplona Salamanca Sevilla Tenerife Valencia Options *
3. Nº of weeks
   Number of Weeks 02 Days (teacher seminar only) 03 Days (teacher seminar only) 01 Week 02 Weeks 03 Weeks 04 Weeks 05 Weeks 06 Weeks 07 Weeks 08 Weeks 09 Weeks 10 Weeks 11 Weeks 12 Weeks 13 Weeks 14 Weeks 15 Weeks 16 Weeks 17 Weeks 18 Weeks 19 Weeks 20 Weeks 21 Weeks 22 Weeks 23 Weeks 24 Weeks 25 Weeks 26 Weeks 27 Weeks 28 Weeks 29 Weeks 30 Weeks 31 Weeks 32 Weeks 33 Weeks 34 Weeks 35 Weeks 36 Weeks 37 Weeks 38 Weeks 39 Weeks 40 Weeks 41 Weeks 42 Weeks 43 Weeks 44 Weeks 45 Weeks 46 Weeks 47 Weeks 48 Weeks 49 Weeks 50 Weeks 51 Weeks 52 Weeks Options *
4. Lessons per week:
   Lessons/Week 01 05 10 20 25 30 10 + 5 20 + 5 20 + 8 20 + 10 25 + 5 30 + 5 (Only Tenerife) 20 + Scuba program Options *
5. Start Date (MONDAYS only)*
   Options *
6. * Please note that courses ALWAYS begin on Monday. Some courses have specific starting dates -- you can see them by placing the mouse over the question mark next to the "start date" field.
7. Do you want to combine cities?
   If so, please check the box and tell us the course, cities and dates you would like to combine here:
8. Do you want to take a One on One Course with 1 or 2 more students, or incorporate a special interest? If so, please check the box and tell us your preferences here:
9. Have you ever studied in Spain before?
   Yes No
10. If you selected yes, where did you study?
11. How did you find out about Enforex?
    Select Newspaper Other advertisement A Friend By Google Other Search Engine Our Website Other Website Internet Banner School Agency Brochure Other
12. Why do you want to learn Spanish?
13. Note:

Airport Transfers

If you would like to be met at the airport and transfered to your accommodation, please complete the data below:

1. Yes, I want arrival transfer
2. No, I do not want arrival transfer
3. Arrival date:
4. Arrival time:
   am pm
5. Coming from (City):
6. Arriving at (airport):
8. Airline:
9. Flight Number:
10. Please advise ENFOREX of your arrival details as soon as possible, at least 14 days before the course begins.
    Yes, I want return transfer
    No, I do not want return transfer
11. Departure date:
12. Departure time:
    am pm
13. Departure airport:
14. Our driver will meet you holding an ENFOREX sign with your name on it in the arrivals lounge. If your flight is delayed, changed or canceled, please contact us immediately at this number: +34 636 450 998. Otherwise, we won't be able to refund your transfer fee.

Travel and Medical Insurance

1. Students are advised to get their own medical insurance before departure. ENFOREX can provide insurance:

2. Insurance provided:
   Yes No
3. NUMBER OF WEEKS

Accommodation

If you would like us to arrange your accommodation, please indicate your preferences below:

1. Arrival date:
2. Departure date:
3. * Please note that accomodations are available from 12:00 noon on the Sunday before the first day of the course until 12:00 noon on the Saturday after the last day of classes (Friday). An extra fee will be charged for extra days, but we cannot guarantee availability. 4 or more additional days will amount to the cost of another week.

Please check the box of the accommodation and type of room you would like.

1. Accommodation
2. Host Family
3. Student residence *
4. Shared apartment
5. Private apartment
6. Hotel

1. Type of room
2. Single
3. Double
4. Double for individual us **
5. Shared room, with whom?

* Residences are not available in Alicante, Cadiz, Malaga, Pamplona, or Tenerife.
** Double room for individual use is only available for Shared Student Apartments (not in residences or host families).

Meals

1. Without meals *
2. Half Board (Breakfast & Dinner)
3. Full Board (Breakfast, Lunch & Dinner)

* This option not available in host families. The no meals option is only available in shared and private apartments, and the following student residences: Granada & Marbella. In Marbella residence, however, there WILL be meals in July, September & August.

Extra information

1. Do you mind pets?
   Yes No
2. Do you smoke?
   Yes No
3. Do you mind a family who smokes?
   Yes No
4. Is there anything else we need to know about (diets, medical problems, allergies, dislike of pets) in order to help us find you a suitable family?

Payment

To confirm your booking a deposit of 250 euros deductable from the total (NON REFUNDABLE) must be paid either to ENFOREX or to our local representative. This deposit is not an additional cost. The remaining fees must be paid at least 3 weeks before arrival. Courier express mailing, please add 75 euros. No course fees will be refunded after the course has started (Cancelation policy is available in our general price list). For cancellations please see the general conditions attached.

INIDICATE THE AMOUNT YOU WOULD LIKE TO PAY TODAY

1. Today, I would ONLY like to pay the 250€ deposit.
2. Today, I would like to pay the following amount (Please remember: minimum 250€ for the deposit).

CHOOSE A METHOD OF PAYMENT

Please indicate how you would like to pay.

1. Bank Check
2. Bank Transfer*
3. Visa or Master Card
4. To our Representative

Checks or bank tranfers are made payable to IDEAL EDUCATION GROUP S.L.. If it is not a Spanish Check please add 30€ to cover bank charges.

ALL BANK CHARGES ARE PAID BY THE SENDER

1. BANK ACCOUNT:
   (€) EUROS
2. BANK NAME:
   LA CAIXA Swiff Code & BIC: CAIXESBBXXX
3. ACCOUNT NAME:
   IDEAL EDUCATION GROUP, S.L.
4. IBAN NUMBER:
   ES97-2100-5641-0402-0001-1400
5. ACCOUNT NUMBER:
   2100-5641-0402-0001-1400
6. BRANCH ADDRESS:
   Conde Duque, 22 - 28015 Madrid, Spain
7. * please FAX us a copy of the wire transfer with your name clearly marked

PAYMENT BY CREDIT CARD

Fill this out ONLY if you are paying by VISA or Master Card.
Transactions with other credit cards (e.g. American Express) are not possible.

1. Card Type:
   Visa Master Card
2. Name of Holder:
3. ID/Passport of holder:
4. Credit Card Number:
5. Expiration Date:
   Month 01 02 03 04 05 06 07 08 09 10 11 12 Year 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019

I understand that the amount authorized to charge in US dollars will be converted into the euros exchange rate of the day of the charge. I understand that by sending this form I accept all Enforex conditions. To certify that the information given above is true.

Special Requests or Comments

I agree with all the ENFOREX conditions. Read Terms