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PERSONAL DETAILS
*
Compulsory field
Title
*
:
Mrs
Miss
Mr.
Last name
*
:
First name
*
:
Date of birth
*
:
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1
2
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5
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10
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14
15
16
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18
19
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26
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28
29
30
31
--
01 - January
02 - February
03 - March
04 - April
05 - May
06 - June
07 - July
08 - August
09 - September
10 - October
11 - November
12 - December
--
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
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1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
Nationality :
Profession :
Mother tongue
*
:
Other languages spoken :
Language level
*
:
I do not know.
Complete beginner A0
Breakthrough A1
between A1 and A2
Waystage A2
between A2 and B1
Threshold B1
between B1 and B2
Vantage B2
between B2 and C1
Proficiency C1
Tester mon niveau
Adress
*
:
City
*
:
Zip/post code
*
:
Country
*
:
Telephone :
Mobile :
Fax :
E-mail
*
:
COURSE DETAILS
Course name
*
:
Choice of your course
Voyage
Découverte
Vacances intelligentes
Vivre en france
En famille
Relax
Langue-culture
Langue-culture Plus
Pro
Affaires
Aventure
En privé
Sur mesure
The period
*
:
Choice of the period
Summer July-September
Autumn October-December
Winter January-March 2012
Spring April-June
The date
*
:
Choice of the date
09/07/12 - 14/07/12
23/07/12 - 28/07/12
06/08/12 - 11/08/12
13/08/12 - 18/08/12
20/08/12 - 25/08/12
10/09/12 - 15/09/12
17/09/12 - 20/09/12
The date
*
:
Choice of the date
24/10/11 - 29/10/11
31/10/11 - 05/11/11
The date
*
:
Choice of the date
02/01/12 - 07/01/12
09/01/12 - 14/01/12
13/02/12 - 18/02/12
20/02/12 - 25/02/12
27/02/12 - 03/03/12
05/03/12 - 10/03/12
The date
*
:
Choice of the date
16/04/12 - 21/04/12
23/04/12 - 28/04/12
30/04/12 - 05/05/12
28/05/12 - 02/06/12
11/06/12 - 16/06/12
25/06/12 - 30/06/12
The date
*
:
Choice of the date
02/07/12 - 07/07/12
16/07/12 - 21/07/12
30/07/12 - 04/08/12
03/09/12 - 07/09/12
24/09/12 - 29/09/12
The date
*
:
Choice of the date
03/10/11 - 08/10/11
10/10/11 - 15/10/11
07/11/11 - 12/11/11
14/11/11 - 19/11/11
05/12/11 - 10/12/11
12/12/11 - 17/12/11
The date
*
:
Choice of the date
16/01/12 - 21/01/12
23/01/12 - 28/01/12
30/01/12 - 04/02/12
06/02/12 - 11/02/12
12/03/12 - 17/03/12
19/03/12 - 24/03/12
The date
*
:
Choice of the date
02/04/12 - 07/04/12
09/04/12 - 14/04/12
14/05/12 - 19/05/12
21/05/12 - 26/05/12
04/06/12 - 09/06/12
The date
*
:
Choice of the date
16/07/12 - 21/07/12
23/07/12 - 28/07/12
13/08/12 - 18/08/12
20/08/12 - 25/08/12
10/09/12 - 22/09/12
The date
*
:
Choice of the date
24/10/11 - 29/10/11
31/10/11 - 05/11/11
The date
*
:
Choice of the date
02/01/12 - 07/01/12
09/01/12 - 14/01/12
13/02/12 - 18/02/12
20/02/12 - 25/02/12
The date
*
:
Choice of the date
16/04/12 - 21/04/12
23/04/12 - 28/04/12
30/04/12 - 05/05/12
07/05/12 - 12/05/12
28/05/12 - 02/06/12
The date
*
:
Choice of the date
02/07/12 - 07/07/12
09/07/12 - 14/07/12
30/07/12 - 04/08/12
03/09/12 - 07/09/12
24/09/12 - 29/09/12
01/10/12 - 06/10/12
The date
*
:
Choice of the date
01/10/12 - 06/10/12
07/11/11 - 12/11/11
21/11/11 - 26/11/11
28/11/11 - 03/12/11
The date
*
:
Choice of the date
16/01/12 - 21/01/12
23/01/12 - 28/01/12
30/01/12 - 04/02/12
27/02/12 - 03/03/12
12/03/12 - 17/03/12
12/03/12 - 17/03/12
The date
*
:
Choice of the date
02/04/12 - 07/04/12
09/04/12 - 14/04/12
14/05/12 - 19/05/12
21/05/12 - 26/05/12
11/06/12 - 16/06/12
The date
*
:
Choice of the date
02/07/12 - 07/07/12
09/07/12 - 14/07/12
30/07/12 - 04/08/12
06/08/12 - 11/08/12
03/09/12 - 07/09/12
10/09/12 - 15/09/12
The date
*
:
Choice of the date
03/10/11 - 08/10/11
14/11/11 - 19/11/11
05/12/11 - 10/12/11
The date
*
:
Choice of the date
02/01/12 - 07/01/12
09/01/12 - 14/01/12
06/02/12 - 11/02/12
20/02/12 - 25/02/12
05/03/12 - 10/03/12
26/03/12 - 31/03/12
The date
*
:
Choice of the date
16/04/12 - 21/04/12
30/04/12 - 05/05/12
07/05/12 - 12/05/12
28/05/12 - 02/06/12
04/06/12 - 09/06/12
The date
*
:
Choice of the date
16/07/12 - 21/07/12
23/07/12 - 28/07/12
20/08/12 - 25/08/12
27/08/12 - 01/09/12
The date
*
:
Choice of the date
17/10/11 - 22/10/11
24/10/11 - 29/10/11
21/11/11 - 26/11/11
28/11/11 - 03/12/11
12/12/11 - 17/12/11
The date
*
:
Choice of the date
09/01/12 - 14/01/12
16/01/12 - 21/01/12
23/01/12 - 28/01/12
30/01/12 - 04/02/12
12/03/12 - 17/03/12
The date
*
:
Choice of the date
16/04/12 - 28/04/12
30/04/12 - 12/05/12
14/05/12 - 26/05/12
18/06/12 - 30/06/12
The date
*
:
Choice of the date
09/07/12 - 14/07/12
16/07/12 - 21/07/12
13/08/12 - 18/08/12
20/08/12 - 25/08/12
10/09/12 - 22/09/12
The date
*
:
Choice of the date
03/10/11 - 08/10/11
10/10/11 - 15/10/11
31/10/11 - 05/11/11
07/11/11 - 12/11/11
28/11/11 - 03/12/11
05/12/11 - 10/12/11
The date
*
:
Choice of the date
23/01/12 - 28/01/12
30/01/12 - 04/02/12
27/02/12 - 03/03/12
05/03/12 - 10/03/12
The date
*
:
Choice of the date
02/04/12 - 07/04/12
30/04/12 - 05/05/12
07/05/12 - 12/05/12
The date
*
:
Choice of the date
02/07/12 - 07/07/12
30/07/12 - 04/08/12
06/08/12 - 11/08/12
27/08/12 - 01/09/12
03/09/12 - 07/09/12
24/09/12 - 06/10/12
The date
*
:
Choice of the date
03/10/11 - 08/10/11
17/10/11 - 22/10/11
24/10/11 - 29/10/11
14/11/11 - 19/11/11
21/11/11 - 26/11/11
The date
*
:
Choice of the date
06/02/12 - 11/02/12
13/02/12 - 18/02/12
12/03/12 - 17/03/12
12/03/12 - 17/03/12
The date
*
:
Choice of the date
09/04/12 - 14/04/12
16/04/12 - 21/04/12
14/05/12 - 26/05/12
28/05/12 - 09/06/12
25/06/12 - 07/07/12
The date
*
:
Choice of the date
02/07/12 - 07/07/12
09/07/12 - 14/07/12
30/07/12 - 11/08/12
03/09/12 - 15/09/12
01/10/12 - 11/10/12
The date
*
:
Choice of the date
03/10/11 - 08/10/11
31/10/11 - 05/11/11
07/11/11 - 12/11/11
28/11/11 - 03/12/11
05/12/11 - 10/12/11
The date
*
:
Choice of the date
30/01/12 - 04/02/12
06/02/12 - 11/02/12
05/03/12 - 10/03/12
12/03/12 - 17/03/12
26/03/12 - 31/03/12
The date
*
:
Choice of the date
26/03/12 - 07/04/12
16/04/12 - 21/04/12
23/04/12 - 28/04/12
14/05/12 - 19/05/12
11/06/12 - 23/06/12
The date
*
:
Choice of the date
16/07/12 - 21/07/12
23/07/12 - 28/07/12
06/08/12 - 11/08/12
13/08/12 - 18/08/12
10/09/12 - 15/09/12
17/09/12 - 22/09/12
The date
*
:
Choice of the date
17/10/11 - 22/10/11
24/10/11 - 29/10/11
07/11/11 - 12/11/11
14/11/11 - 19/11/11
28/11/11 - 03/12/11
05/12/11 - 10/12/11
The date
*
:
Choice of the date
16/01/12 - 21/01/12
23/01/12 - 28/01/12
20/02/12 - 25/02/12
27/02/12 - 03/03/12
26/03/12 - 31/03/12
The date
*
:
Choice of the date
30/04/12 - 05/05/12
07/05/12 - 12/05/12
11/06/12 - 16/06/12
The date
*
:
Choice of the date
16/07/12 - 21/07/12
13/08/12 - 18/08/12
17/09/12 - 22/09/12
24/09/12 - 29/09/12
The date
*
:
Choice of the date
10/10/11 - 15/10/11
12/12/11 - 17/12/11
The date
*
:
Choice of the date
02/01/12 - 07/01/12
09/01/12 - 14/01/12
13/02/12 - 18/02/12
20/02/12 - 25/02/12
The date
*
:
Choice of the date
09/04/12 - 14/04/12
21/05/12 - 26/05/12
04/06/12 - 09/06/12
Start date :
dd/mm/yyyy
Finish date :
dd/mm/yyyy
Number of hours :
Minimum 10 hours
Your language needs :
Start date :
dd/mm/yyyy
Finish date :
dd/mm/yyyy
Number of hours :
Minimum 6 hours
Number of participants :
From 4 participants.
Your Language needs :
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Choice
Friend/by word of mouth
Search engine
Internet Advertising
Magazine
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Voyage
Découverte
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Relax
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Thursday 23 February 2012 -
- © 2012
GEMEA Interactive
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