Name:


E-mail:


Mailing Address:


Telephone:


Fax:

Passport number:


Gender:
 Male    Female

Age:


Arrival Info (flight #, date, time):


Dates you wish to attend:

Hours per day:
2 3 4 5 6 7 8

Level of classes:
Beginner Intermediate Advanced

I prefer to study in the: (4 hours per day)
Any Morning session Afternoon session
*Schedule depends on availability, but your preference is important and will be taken into account.

Type of housing:
None Family Hostel Apartment (1 mo. min.)

Course type:
Individual Lessons Group Lessons (check availability) Discover Ecuador Program - Individual Lessons Discover Ecuador Program - Group Lessons

Where to study:
Cuenca Quito Coast (one week course) Jungle (one-week course)

Message, questions, comments, special requirements for homestay (vegetarian meals, non-smoking, etc.):


How did you learn about Simon Bolivar Spanish School?



 

Feel free to contact us by phone, fax or e-mail:

Tel/Fax: 593-7 2832052 / 593-7 2839959
Mobile (emergency): 593-9 8993679
E-mail: info@bolivar2.com

Important Note:
Due to the unreliable internet service in our country we sometimes have problems with incoming e-mails. If you do not receive an answer from one of our staff members within 24 hours (48 hours during the weekend) we request you to please send the mail again.

Thank you for choosing our school!