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Name:  Date of Birth:  Gender:  MaleFemale Tel:  Cell:  Fax:  E-mail:    Address:  Suburb:  Course:  Intensive beginner French course Extensive beginner French course Intermediate French course Advanced French course Business French course Diplomatic French course Tourism French course Judicial French course Private French Tuition Private Portuguese Tuition Holidays French crash course Conversational French classes Children French program (9 – 12 years old) French familiarisation program for children (5 – 8 years old) Nursery School & Preschool Cultural Enrichment (2 – 4 years old) Portuguese Course French cooking classes Individual / Group:  Any Individual Group Age Group:  Child Adolescent Big Adolescent / Adult Location of lesson:  Any French Academy's Premises Client's Premises Private / Corporate:   Private Corporate Why do you want to learn French?  Socialising Recreational Activity Work Related Relocating to a French country Travelling to a French country Other Are you in a hurry to learn French?  YesNo I would like to learn how to:  Read French Write French Speak French All of the above Preferred day of week for lesson:  Monday Tuesday Wednesday Thursday Friday Saturday Preferred time for lesson:  Mornings Afternoons Evenings Lesson duration:  1 hour 1.5 hours 2 hours Number of lessons per week:  1 2 3 4 5 6

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