SurnamE
*
Given Names
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Address (inc. suburb)
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State
Vic
NSW
Tas
SA
WA
Tas
Postcode
Telephone: (w)
Telephone: (h)
Telephone:(m)
*
Email
*
Occupation
I wish to enrol in
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Beginner Spanish 1
Beginner Spanish 2
Beginner Spanish 3
Intermediate Spanish 1/2
Advanced Spanish 1/2/3
Travellers' Spanish
Intensive Spanish
Private Tuition
Day & time
Location
Fitzroy
Prahran
South Melbourne
Reason/s for enrolling
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Travel
Recreation
Social
Business
Professional
Cultural
Other
How did you find out about Tres Culturas Spanish?
Payment Options - Please choose one:
* Option 1 Pay with Paymate Express
2. I have made an EFT (Pay Anyone) deposit/full payment of $ to: Account Name: Tres Culturas Spanish Language Studio: Bank: ANZ, BSB: 013-259 ACCOUNT NUMBER: 4406-26488.
* Option 2 detail $
3. I enclose a cheque/money order payable to: Tres Culturas Spanish Language Studio for the total fee of $ or $50 as a deposit.
* Option 3 detail $
I have read and agree to the conditions of enrolment as stated below.
Date:
Conditions of Enrolment: Enrolments can be taken over the phone or e- mail, however, a deposit of $ 50 or the full fee must be paid before the beginning of the course. Any outstanding balance must be paid at the first lesson of the course. Fees are not refundable after the course commences.The minimum enrolment for any term or programmed class is 4. Students enrolled in a class with less than that, have the option to join other available classes at the same level or wait until the class they have enrolled in gets to 4. Please contact us for details. PLEASE NOTE THAT A DEPOSIT OF $50 MUST BE PAID IN ORDER TO RESERVE A PLACE. *You can send the form by email or fax provided you have completed either of our online payment options: Paymate Express or EFT (Pay Anyone) - options 1 & 2 respectively . IMPORTANT: Please enter your full name when doing the EFT transaction.