First Name:

Last Name (MS / MR)

Address:

City:State:

ZIP Country:

Phone/Fax:E-Mail:

When do you plan to begin classes here:

What program do you choose: Five hours a day One to one Individual Three hours a day

How long do you plan to stay: Previous Spanish Study: yes no

Where and when did you study Spanish if apply:

Other languages studied:

Your native language:Age:

How did you learn about IDEL: Internet Magazine Poster Friend/ former student At school Embassy or consulate Travel guide Other

I have read and I understand all conditions presented in the Terms and and conditions link ,all conditions and requirements as set forth contractually therein.

Place and Date

Please include your 100.-- USD registration fee

please print this application form and keep it if is requiered by us!