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French for Executives Form (FOR INDIVIDUALS)

Note fields with an asterisk * must be completed before the form can be sent

Personal details

Full name

*

Occupation

  

Company or organisation

  

Email address

*

Telephone number

*

Fax number

  

Postal address

*

Request details

Starting date: day, month, year

Alternative starting date: day, month, year

Number of weeks

How would you travel to Châtelaillon?

car
train
plane
don't know

Invoice address (if different from address given above)

Accomodation

self-catering house
hotel
homestay with tutor

Your language level in French

none 
beginner
elementary (GCSE or O level)
intermediate (A level)
advanced (degree level)

French lessons - any special requirements?

Leisure activities required:

market
swimming pool
wine-tasting
spa
cycling
beach
oyster farm
La Rochelle
Rochefort
French film
library
mini golf
restaurant
boat trip around islands
casino
aquarium
maritime museum
brandy tasting in Cognac
L'ile d'Aix
L'ile de Ré
bird watching at "Marais d'Yves"

Number of leisure activities selected per week:

1
2
3
4
5

Leisure activities - any special requirements?

Any other requirements:

Optional services:

pick-up and return to La Rochelle airport
pick-up and return to La Rochelle station
welcome pack of provisions & bottle of champagne
use of towels
use of sheets, duvet covers and pillow cases

Other information

How did you hear about Lingualearn?

I do not wish to receive occasional newsletters

Thanks for your request.  We aim to deal with most requests within 5 working days.
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