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"This is an excellent course which has really strengthened my ability to communicate with Hispanic patients. I was surprised at how quickly I learned vocabulary and interviewing skills."

Ameet Nagpal,
USA

More About Linc Medical Spanish
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Linc School of Spanish
General Polavieja, 13.
41004 Seville, Spain.
Tel: (+34) 954 500 459
Fax: (+34) 954 211 949
E-mail Linc Medical Spanish

Linc Medical Spanish: Registration Form

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Personal Information
Name
Surname
Gender Male Female
Date of birth (DD/MM/YY)
Address
Postal Code
City
Country
Telephone (home)
Telephone (work)
Fax
E-Mail
How do you prefer us to contact you?
Information about the courses
Type of course
Number of individual classes:
Date of course: Number of weeks
From To
Estimated Spanish level
How did you find out about Linc?
Your Accommodation
Accommodation (First option)
Family: Full pension (Cost: 30€).
 Yes No
Would you like to be collected
at the airport? (Cost: € 30)?
 Yes No
Date of Arrival
Time
Carrier
Flight number
Are you a smoker? Yes No
Do you mind if others smoke
in the house?		 Yes No
Do you have any special diet requirements?
Do you mind pets in the house? Yes No
Which ones?
Any other information?
 
Deposit Method of Payment
  We require a 100€ deposit for reserving courses.

Bank Transfer (Bank expenses on account of the student)
  To the order of: Linc
Bankinter
Avenida Luis de Morales
41005 Seville
Account no.: ES75 0128 0702 62 0500000013
SWIFT: BKBK ES MM

Cheque to the order of Linc, in Euros
(Please add €12 for Spanish bank expenses)
 
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Before sending the form, check your information and then press "Send"



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