On Line Reservation Inquiry form



Application Form
Please print this form, and fill it out.
Fax number (5) 675-44-09

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Name:_________________________________
Last Name:_____________________________
Age:__________________________________
Sex:__________________________________
Nationality:_____________________________

Permanent address: City:___________________________________
State:__________________________________
Phone:_________________________________
Fax:___________________________________
Zip:___________________________________
Occupation:_____________________________

General Questions.
Have you studied Spanish before?_____________
If yes, for how long?________________________
Where?_________________________________
How do you plan to use your Spanish afterwards?
_______________________________________
_______________________________________

Date to arrive in Valladolid:____________________
Date you want to start classes:__________________

What kind of agreement do you prefer?
1.- With a family room_______________ ( ) Double room
2.- Hotel room________________( ) Single room ( ) Double room


Date:__________________          Signature: _________________________

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