language course reservation

I bindingly book the all-inclusive French Course in France:

Name, First name
Year of birth
Street
Country, ZIP, City
Telephone
Mobile phone
E-Mail
Language course type	Beginner Advanced
Course date	2nd-14th February 2004 23rd February-6th March 2004 15th March-27th March 2004 29th March-12th April 2004 3rd-16th October 2004 17th-30th October 2004 31st October-13th November 2004 14th-27th November 2004 later dates : upon request Note: Arrival will be Sunday prior to begin of the language course. Please note: in case of less than 3 participants we reserve the right to cancel the corresponding French language course.
Participants	I am booking the French language course exclusively for myself I am booking the French language course for myself and the following participants: Note: 8 participants per language course max.
Rating	Please estimate your language knowledge level. Thank you. Absolute beginner Beginner with minor knowledge Average knowledge Good knowledge Note: In case you are nearly perfect in speaking French and are interested in a conversation course (special themes are possible), please send us an E-Mail to Conversation@Le Coustal.
Smoker/Non-Smoker	I do not like people to smoke: Yes No
Lodgings	Twin-Bed Number à Euro 1.496,-/Person* Single Bed Number à Euro 1.496,-/Person* Double as Single Number à Euro 1.596,-/Person* Three-Bed-Room Number à Euro 1.397,-/Person* Four-Bed-Room upon request
	Note: All rates are all-inclusive rates per person in the corresponding type of room, including full-board (2 different diner menus), 80 language course lessons at 45 minutes, course material, excursions, entertainment, transfer from/to Carcassonne.
Transfer	I need transfer forpeople from/to
	Carcassonne train station Date of Arrival: Time: Train-No: from direction: Carcassonne airport Date of Arrival: Time: Flight No.: No transfer required - I/we do not require transfer.
Notes
Conditions	I read the contract conditions for the French language course and accept these.

Please check that your form entries are complete and click to the "Reservation" button. Your online-reservation will be binding.

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