Registration form Sprachschule Aktiv Bielefeld

Registration for language courses – Please fill out the registration form for the desired language course.

     

    Personal data

    Company:

    Salutation:

    First Name(*):

    Last Name(*):

    Phone (*):

    E-mail (*):

     

    Address

    Street (*):

    House number (*):

    Postal Code (*):

    City (*):

     

    Course information

    Language*:

    Course type*:

    Level*:

    Course start*:

    Duration of the course*:

    Desired number of hours:

     

    Payment

     

    Remarks

    (*) I have taken note of the General Terms and Conditions (including the right of withdrawal) and I agree. I have taken note of the information on data protection.

    (*) I hereby expressly agree that you may commence performance of the service before expiry of the withdrawal period and expressly request this. I am aware that my right of withdrawal is lost upon complete fulfillment of the contract. I am also aware that I am obliged to pay compensation for any partial services already provided (e.g. examination fees incurred, similar expenses or lessons already taken) if I withdraw from the contract before the service has been fully provided.