“More information”

 

Send this form to EUROSPEAK Brussels, Ghent or Antwerp and we will provide you with the information you need by e-mail or post.

Your personal information will only be used to process your request. We are committed to ensuring the privacy of all the information we collect.

Some questions have multiple options. Fields indicated with an asterisk (*) are required to complete this questionnaire.

 
 
Coordinates*
 
Name
First name
E-mail
Telephone
Street
Number
Box
Postal code
City
 
Target language*
 
Language you want to learn
And, if possible, also
My level at this moment
  Absolute beginner  
  Elementary            
  Intermediate            
  Advanced            
 
Why do you want to do this language training course?
  Work
  Private
  Education
               
Name company / school
Street
Number
Box
Postal code
City
 
I would like to receive more information on*
 
  a tailor-made course
  an intensive course
  a functional module
  an 'open' group course
  language by telephone
  language councelling
  e-learning
  a course for expats
  coaching
  1 week intensive 12-18 years
  1 semester +18 years
  a junior course 3-12 years
  a school project
  a language project for a specific organisation
Other, please specify
 
Eurospeak
 
Have you already taken classes at Eurospeak?
  yes            
  no            
 
Remarks
 
Messages (this might include your specific needs, goals, any remarks,...) or questions
 
Contact
 
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