First Name: * Family Name: * Birthday: * Address: * Nationality: * Phone Number: * Mobile Phone Number: * E-mail: * I enrol for the following course: * German Intensive Course German Intensive Mini Group Summer Intensive Course Test DaF Preparation Course DSH Preparation Course Begin of your course, for how many weeks, months: * Is accomodation required, if so, what kind of: * My knowledge of German-European Framework Of Reference : * A 1 Breakthrough A 2 Waystage B 1 Treshold B 2 Vantage C 1 Proficient user C 2 Mastery I transfer the total amount of the course fee on account: Euer Sprachzentrum, Nr.: 12150216, BLZ.: 680 501 01, Sparkasse Freiburg International Bank Account Number: DE62 6805 0101 0012 1502 16 SWIFT-BIC.: FRSPDE66XXX *