Spanish Panama printable application form

Contact Details
 Your Name  : E-mail:
    Phone: Country:
Occupation:    Hobbies:
 sex     Age

I am just making an enquiry about availability and prices
 I am going to pay a $100 deposit by Moneygram FREE airport pickup
 I want a 10% discount so I will send the  whole amount  by  Moneygram (at least 3 weeks before arrival )
See the ... How to pay page

0. How would you like your classes ?
Flexible, customised One to One Class ..or Economic Group Class

1. Choose where would you like to stay
Homestay 
School Apartment
 Hotel (I'll make my arrangements)
( OR get me a room price for 2 star3 stardeluxeentire apartment )
 number of twin rooms     number of double rooms

2. Can non students come too?  Yes of course
How many people in your group altogether ?   How many of them want to study spanish ?

 3. Where would you like classes at school or your place (e.g. your office)

4. When would you like to come ?
Can you be flexible about your dates ?   No (go to ideal dates)   Yes (complete below)

If yes then please complete these     We want days in Panama City
  some time between  Click Here to Pick up the date and  Click Here to Pick up the date

 


ideal dates :   arrive  Click Here to Pick up the date  leave    Click Here to Pick up the date         date of first class  Click Here to Pick up the date

Choose Class days and times normally 4 hours a day 4 days a week

 

preferred times :    Classes can be chosen between 8:00AM to 9:00PM.

How would you like your class ?

approximate  level of Spanish: Beginners      Intermediate       Advanced 
Special interests  

Volunteer Options

  

 We have some contacts if you would like to practice your Spanish by doing volunteer work tell us what interests you YESNO
Habit for Humanity nature/ecology children animals
Tour Options
- FREE tours included on programs longer than 1 week  		 Please tell us if you have any special requests

Other Info

Thanks we will contact you for more information e.g. address but should you have anything to tell us please use this box

Tell us how you found  us

  e.g. Personal recommendation, searchengine, Google, Yahoo, flyer, guidebook, The Yellow Pages, The Visitor Magazine, from other website

OUR CONNECTIONS Other services like medical tourism  As well as classes we connect you with real estate people and lawyers (for property investment and retiring), U.S. trained doctors and dentists (for treatment at well below U.S. prices) as well as visa consultancy services for Panamanians Tell us what you need doing and will start making enquiries

    

All prices are in U.S. dollars, as the $US is the official currency of Panama

 ANY QUESTIONS ?  email us,   other packages see the  homepage

home  info@spanishpanama.com   contact us