Please make arrangements for weeks of study for person(s).
Name & Address of Student:
First Name
Last Name
Address
City
State
Zip
Country
Email
Confirm Email
Phone
Age
Age 15-19 20-29 30-39 40-49 50-59 60-69 70+
Level of Spanish Study
Level of Spanish study Beginner Intermediate Advanced
Period of Study From
Period of Study To
Month January February March April May June July August September October November December Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2007 2008 2009 2010
(Please list the names of any other students for whom you are making reservations.)
HomeStay From Date
HomeStay To Date
I would like to be met at the airport; Below is my flight information.
Airline
Flight #
Arrival Date & Time Month January February March April May June July August September October November December Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2007 2008 2009 2010 Time
Flight information forthcoming.
Please indicate any special requirements you may have; i.e. nonsmoking, vegetarian, etc.
Instructions
Upon clicking submit, you will be presented with the opportunity to submit payment of your $50 deposit on-line through PayPal.
OR:
Print out the form and mail it to :
Institute for Central American Studies (ICAS) Apartado 1524-2050 San Pedro, Costa Rica Tel: +(506) 253-3195 Fax: +(506) 234-7682 mailto:info@MesoamericaOnline.Net
Form must be accompanied by a $50 deposit via a US$ check. Please make your check payable to ICAS.
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