CENTRO DE IDIOMAS
DEL SURESTE A.C.

MERIDA - YUCATAN - MEXICO

I wish to apply for the CENTRO DE IDIOMAS DEL SURESTE, A.C. Total Immersion Program.

 

NAME: ________________________________________ BIRTH DATE___:______________________

ADDRESS: _________________________________________________________________________

CITY: _____________ STATE: _____________ COUNTRY _____________ ZIP CODE:______________

THELEPHONE:DAYTIME: (     )_______________________/EVENING:(      )______________________

EMAIL: ____________________________________________________________________________

OCCUPATION: ________________________ARRIVAL DATE: _________________________________

AIRPORT PICK UP INFORMATION: ______________________________________________________

EMERGENCY CONTACT ______________________________________________________________

TEL:(     )__________________ ADDRESS: _______________________________________________

EMAIL: ____________________________________________________________________________

LANGUAGE LEVEL COMMENTS ________________________________________________________

___________________________________________________________________________________

HOURS/DAY ___________

# OF WEEKS ___________

CHECK WHERE  YOU HEARD ABOUT CENTRO DE IDIOMAS DEL SURESTE, A.C. :

(    )THROUGH A FRIEND

(    )FROM AN AD IN THE FOLLOWING MAGAZINE:_____________________________________________

(    )FROM THE FOLLOWING AGENT OR WEBSITE______________________________________________

(    )OTHER (PLEASE SPECIFY)______________________________________________________________

IMPORTANT COMMENTS REGARDING HOUSING OR ANY OTHER SPECIAL REQUIERMENTS:________

______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

Please send $125.00 US deposit per person to PayPal account: cispon@cablered.net.mx .Balance may

 be paid on arrival in cash by Pay Pal or by MC or Visa. Books included in rate. Calculate your total cost from the following rate schedule:

 

TUITION

 5 hours of class daily M-F, small groups, usually 2-6 students per class)

               

                                                   A- With Home stay         B-Without           C- With Home stay    D-Without Home stay 

       5 hrs course                 Home stay             Only 3 hrs               Only 3 hrs

 

1) Enrollment for 1 week                            U.S  $ 530                    $395                      $480                 $345

2) Enrollment for 2 weeks                                   $ 950                      670                        840                     570

3) Enrollment for 3 weeks                                  $ 1,310                   905                        1160                  755

4) Enrollment for 4 weeks                                    $ 1,620                  1080                      1410                  880

 * Each add week (tuition & home stay)          $ 340                      245                        290                     195

 

SCHOOL  START DATE____________________ SCHOOL END DATE________________________

LODGING START_________________________ LODGING END____________________________

 

** Private classes may be contracted at US $ 25.00 per hour. Special discounts for private groups.

***Special tuition discounts apply in March and April

****One field trip included per week. (Only transportation)

 

Single air conditioned bedroom supplement is $45 per week  or $30 if double.

 

CANCELLATION POLICY FOR SPANISH PROGRAM

The CIS cancellation policy is as follows: full refund minus $125.00 of our fees if we receive notification in writing no later than one week before arrival date; refund of all funds except 1 week tuition plus home stay plus 125 USD if notification takes place during last week before arrival; NO refund of untaken weeks if cancellation occurs for any reason on arrival day or thereafter.  "weeks" are seven nights and neither can be cancelled per diem.  Refunds are never made on site and can only be requested through the original registering agency.

 

 

DATE: ________________________________________  SIGNATURE: _________________________________________________