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 agree to have read the legal terms and the data privacy policy.