CENTRO
DE IDIOMAS |
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DEL
SURESTE A.C. |
|
|
MERIDA - YUCATAN - MEXICO |
NAME: ________________________________________
BIRTH DATE___:______________________
ADDRESS: _________________________________________________________________________
CITY:
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:
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.
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: _________________________________________________