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Address City Country Zip / Postal Code Telephone Date of Birth First Name Last Name Male / Female Nationality Email Email 2 COURSES   Select standard (20 lessons per week), or intensive (30 lessons per week)  : Standard Course Intensive Course One-to-one Course DATES First day of courses Number of weeks you wish to stay 30 March 2008 6 April 2008 13 April 2008 20 April 2008 27 April 2008 4 May 2008 11 May 2008 18 May 2008 25 May 2008 1 June 2008 8 June 2008 22 June 2008 29 June 2008 6 July 2008 13 July 2008 20 July 2008 27 July 2008 3 August 2008 10 August 2008 17 August 2008 24 August 2008 31 August 2008 7 September 2008 14 September 2008 21 September 2008 28 September 2008 5 October 2008 12 October 2008 19 October 2008 26 October 2008 2 November 2008 9 November 2008 16 November 2008 23 November 2008 30 November 2008 7 December 2008 ACCOMMODATION   Arrivals take place on Sundays and departures on Saturdays before noon.        You may leave this section blank if you wish to find your own accommodation. Apartment, Double Room Standard Apartment, Single Room Standard Apartment, Double Room Comfort Apartment, Single Room Comfort Host Family, Double Room Host Family, Single Room Private Studio Hotel*** SPECIAL NEEDS / REQUESTS If you choose Host Family, please indicate below whether you would like breakfast only or  half-board. Please note that the prices will change according to the number of meals you wish to share with your family. You may also indicate if you have any allergies or special needs. If you have chosen an apartment, please indicate any special requests. YOUR LEVEL OF FRENCH Please indicate your approximate level of French Absolute Beginner Beginner Intermediate Advanced TRANSFER We offer a transfer service from the airport or train station to your accommodation on the Sunday before the start of your course. Please give us your flight details, and our staff will greet you at the airport or train station. ( Even if you don't know your arrival details yet, please tell us if you want to book this service. ) Transfer is an additional cost of  30€ (one-way) Flight Name: Flight Number: Time of Arrival: How did you hear about Lingo Planet? You are a former Lingo Planet Student Internet Advertising A Brochure Your University Google / Other Search Engine A Friend / Collegue

We will be in touch with you within the next 24 - 48 hours. Thank you for choosing Lingo Planet.