Spanish classes Ecuador, Spanish schools Quito, Galapagos and Otavalo

Instituto Superior de Español

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REGISTRATION FORM

Please indicate the information you would like us to send by ticking the appropriate check box:

I would like to register for an Instituto Superior Spanish Program

I would like to receive more information about Spanish classes

Personal details:

First name:	*

Surname:

Sex:

Country:

Telephone:

E-mail:	*

Date of birth:

Nationality:

Flight Details

Airline:

Flight Number:

Arrival Date:

Arrival Time:

I wish to be picked up at the airport free of charge

Accommodation Details:

I'd like to stay in

	Host family (advantage: practicing Spanish)

	Hostels

	Hotels

I'll make my own accommodation arrangements

Course Details

Please tick all the relevant boxes and indicate the number of weeks:

Quito School

Number of weeks

Otavalo School

Number of weeks

Galapagos School

Number of weeks

Travelling Program

Number of weeks

Selva Program

Number of weeks

Ranchero Program

Number of weeks

Instruction type:

Course start date:

Current level of Spanish:

Any other comments

This information is for guidance only and we will of course be in contact to discuss the full details of your course requirements by email.