La Lengua Spanish School Ecuador | Learn Spanish in Quito Otavalo Puerto Lopez Ecuador | Spanish Language immersion courses in Ecuador

Ecole d'Espagnol

Information

La Lengua Livres

Quito

Prix

Equateur

Endroit D'École

Les excursions de la Lengua

Galapagos

Galerie photos

Bénévolat

Notre équipe

Références

Registre

Contact

REGISTRATION and booking FORM

Airport pickup USD 10.--. You will receive a confirmation from the school!

* information required

PERSONAL DATA

*Family Name:
*First Name:
*E-mail:
Mailing Address:
Country:
Home Phone:
Business Phone:
Fax:
Occupation/Profession:
Age:

*Gender:

Female Male

ARRIVAL INFORMATION

Date:	D /M /Y
Local hour/time:
Airline:
Flight Number:

I don´t wish airport pickup

*SCHOOL

*I wish to study...

From:			Day /Month /Year
To:			Day /Month /Year

*Level of classes:

Beginner

Intermediate

Advanced

**WHERE TO STUDY

	Quito	# of weeks
	Coast-Puerto Lopez	# of weeks
	Jungle (one week program only)

( you may choose to study in more than one location-please specify # of weeks for each)

TYPE OF HOUSING

* if you would require arranged accomodation

	Homestay-Family
	Hostal/Hotel

From:			Day /Month /Year
To:			Day /Month /Year

If you wish a homestay family please specify the following:

	breakfast only
	2 meals
	3 meals
	I am vegetarian

Additionally i'm booking the
following services.......

Student Trip Ecuador w/Galapagos	Date:	D /M /Y
Yarina Lodge additional Week after Student Trip
Flight Quito-Coca-Quito to the Yarina Lodge (US$ 120)

I HEARD ABOUT LA LENGUA THROUGH.........

Other, please specify:

Special requests, questions or comments:

Thank you for choosing LA LENGUA, we look forward to meeting you!