CONTACT US If you want further information on one or more of our courses, please complete the underneath form. We will contact you as soon as possible.
Name : ..............................		First name : ..............................
Company : ..............................
E-mail address : ..............................		Mobile N° : ..............................
Street : ..............................		Nr : .....     Mailbox : .......
Postal code :  ........		City : ..............................
Tel. N° (Private) : .... / ... ... ...		(Office) : .... / ... ... ...
Fax N° : .... / ... ... ...

Please tick the item(s) of your choice:

 

O I would like to  receive more information on your:	O tailor-made courses O tailor-made intensive trainings O tailor-made residential trainings O tailor-made functional modules O conversation classes: semester courses O conversation classes: intensive summer courses O language counseling O training by telephone O youth programs
O I would like to have a personal contact with a local Eurospeak coordinator
O I would like to register for a course in : (City) ..............................

How to get in touch?