Name:
Date of Birth:
Nationality:
Passport Number:
Home Address:
ZIP Code:
City:
Country:
Phone:
Fax:
E-mail:
Sex:
Male
Female
Course of Interest:
Basic (Oct.-Jun.)
Intermediate (Oct.-Jun.)
Advanced (Oct.-Jun.)
Summer (July)
Specialty:
Guitar
Dance
Singing
Courses prices (accommodation not included):
Basic, Intermediate and Advanced: 2550 euros
Summer: 800 euros
In order to make a reservation send
520
euros
, to the following bank account:
FUNDACIÓN CRISTINA HEEREN
Caja de Madrid
Av. de Jerez 2
41014 Sevilla
SPAIN
c.c 2038 - 9843 - 50 - 6000088377