Registration form

name, first name
address
country, postcode, city
phone
fax
e-mail
date of birth
nationality
passport number
profession
Spanish classes	from    until
total weeks
arrival date	time   airline   flight number
course wished	Standard Individual Privado
if Individual or Privado	Quito Cultural   yes no included in 'Standard' , included in the program Standard
number of lessons per week
Otro Sitio	Baños Cuenca Atacames Puerto Lopez Valle Tena Coca (minimum 2 persons)
Language-Travelling through the Andes	Sierra Total                 starting date: Sierra Central Sierra Sur
Spanish knowledge	beginner intermediate advanced
accommodation	family organised by myself if family:	end date                  number of nights
Insurance	Risk of cancellation,  4 % of the total price US$
total price	US$
special wishes

We garantee to confirm your booking within 5 working days by e-mail which includes all information you will need.

I agree with the conditions described in the website, valid are the actual prices. Payment has to be made at the beginning of your course with US$ Travelers Cheques or in cash.

We recommend to take out a policy against the risk of cancellation. So you will get back the debted money in case of diesease, accident, urgent travel home or tumult in Ecuador.

Thank you for your booking.