PRE-BOOKING FORM

(0 à 150h) – A1 Elementary 1

(150h à 300h) – A2 Elementary 2

(300h à 450h) – B1 Independant 1

(450h à 600h) – B2 Independant 2

(600h à 700h) – C1 Autonomous 1

Yes No

1. Host family single room double room
with breakfast half board

2. Students residence (June, July and August only)

3. Private studio

4. Résidence hôtelière

You are * Smoker Non smoker

I enclose the amount of 740 euros for 1 month intensive course (20h per week) + registration fees and ask for a certificate of pre-inscription for a duration of months

I choose the following form of payment :
(cocher la formule retenue)

By cheque in Euros to the order of "Alliance Française de Nice"
By credit transfer at my expenses ( + 40 Euros ) payable to the "Alliance Française de Nice ".