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Program Options
University Students
Semester Study Abroad
Summer Study Abroad
Adult Programs
Learning Vacations
Teacher Programs
Immersion Weekends
Teenagers
Junior Programs
 
 
Language Learning Vacations Registration Form
 
Last Name
First Name
Home Address:
Street
City
State 
Zip
Home Phone
Work Phone
E-mail
Fax
How did you find out about our programs?
Date of birth
Place of birth
Profession
Passport No.
Expiration Date
Emergency Contact Person:
Last, First Name
Relationship
Contact Address
City
State
Zip
Work Phone
Contact Home Phone
Desired program duration
1 week 2 weeks
3 weeks Other : # of weeks 
Knowledge of French
None Elementary
Average Good
Very good
Preferred dates: From   to  . 
Preferred Location:
Paris Nice
Montpellier Tours
Aix-en-Provence Bordeaux
 Desired Accommodation:
Private Home (B&B) Private Home (Half board)
2-star hotel 3-star hotel
Efficiency Apt (2 stars) Efficiency Apt (3 stars)
1-Bedroom Apartment
Note: Some options may not be available for all programs or dates
Activities of Interest:
Tennis Golf Swimming Sailing/Windsurfing Bicycling
Theater Concerts Reading Hiking Jogging
Art Other        
I agree that the above information I have provided is true to the best of my knowledge.
Please charge the $500 deposit to my:
Card holder name Credit card number: 
Expiration date:   
Choose a city ...
Aix-en-Provence
Montpellier
Nice
Paris
Tours
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