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  09 July 2008 | 04:58 (4:58 am) |  12°C (54°F)

Application Form Heidelberg
 
Please provide the following information:

Title:      
First Name:   Nationality:
Last Name:   Place of birth:
Street Address:   Date of birth:
City:   Profession:
State:   Native Language:
Zip code:      
Country:      
Telephone:      
Fax:      
Email:      
Confirm Email:      
         
 
 
 
Please indicate your language level in German:
 
Absolute Beginner    
Elementary    
Intermediate    
Advanced    
         
How long and how intense have you studied the language and where?
   
Which teaching material have you used to study German?
         
 
Please choose your language course at CP Heidelberg:
 
Language course:
 
Register for Language Examinations at CP Heidelberg: (Optional)

Choose Language Exam

 Exam Dates
 
 
 
Accommodation:
 
         
Do you require accommodation?
If yes, which type?
         
Smoker? Yes No
         
Allergies? Yes No
         
 
Comments:
   
Special offers:

 
 
 
Do you require airport transfer?
 
Departure:      
Arrival:      
         
Arrival detail to be given later
   
   
Person to contact in case of emergency:
   
First and Last Name:
Relationship:
E-mail address:
Phone Number (Home):
Phone Number (Other):
Fax Number:
   
   
How did you hear about CP Language Institutes? *

Please describe how:
   
Further comments:
   
 
Application and payment conditions
 
Upon receipt of an application form, CP Language Institutes send the student written confirmation of her/his acceptance. To confirm registration, the student (or her/his parents if she/he is a minor) needs to transfer a non-refundable tuition deposit of $ 200/EUR 200 (plus $ 200/EUR 200, if accommodation is also required), which will be deducted from the course fees. The balance listed in tbe acceptance letter should be paid no later than 30 days before dasses begin. Late registrants will have to pay the total course fee upon receipt of the acceptance letter. All fees may be paid by check, bank transfer or credit card, whatever is convenient for you. If cancellations are made more than 30 days prior to the start of the course, CP will refund the total amount less the non-refundable deposit, which can be credited towards a future course within the next 2 years. No refund is given to students who leave before the end of their course, or miss classes. This does not affect a participant's right to extraordinary cancellation. In matters of accommodation, CP Language Institutes only act as an intermediary between students and land lords and cannot be made responsible for their relationship. CP Language Institutes reserve the right to adjust prices, dates or course specifications without prior notice.
   
All of the information above is up-to-date and correct.
I have read the application and payment conditions and I accept them:
 
 
To process this application please click "send":
 
For security reasons, please enter the following code
    
  Falls sie den Code nicht lesen können klicken Sie bitte auf das Bild um einen neuen Code zu laden
 
 
 
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