Booking Form Individual German Course - Goethe-Institut Belgien

Details of the course participant

First name:

Last name:

Date of birth and place:

Contact language with the Goethe-Institut:

(German, English, French, Dutch)

E-Mail:

Telephone number (incl. area code):

addres:

Details of the desired course

Language level (A1-C2):

A1+2 = Beginner B1+B2 = Intermediate C1+C2 = Advanced

How many course units would you like to book?

(from 10 teaching units (UE), 1 teaching unit has 45 minutes à 89 Euro; from direct booking of 60 teaching units there is a 10 percent discount)

From which date should the lessons start?

On which weekdays and in which time slots should the lessons ideally take place?

(Monday-Saturday, 08:00 h - 20:00 h)

How often per week should the course take place?

(e.g. 1 x 2 teaching units; 2 x 2 teaching units, or other wishes (please enter numbers))

Where should the lessons take place?

(Goethe-Institut, Online)

What is your learning goal?

(study, family reunion etc.)

Further information or comments:

Invoice recipient details:

Name of the company:

First and last name of contact person:

Billing address:

E-Mail:

Tax number:

Please read our General Terms and Conditions (GTC) and General Conditions for Participation.

I have read the General Terms and Conditions (GTC) and the General Conditions for Participation and confirm that I accept them.

yes

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