“Subscribe”

 

Thank you for choosing EUROSPEAK. Send this application form to EUROSPEAK Brussels, Ghent or Antwerp and our local coordinator will contact you within 2 working days to plan your course.
 
Coordinates
 
Name*
First name*
E-mail*
Telephone
Street
Number
Box
Postal code
City
 
Subscription type
 
Company
Name company
VAT
Street
Number
Box
Postal code
City
Name training responsible
Telephone
E-mail
Complete invoicing information
 
Private

Training cheques / language cheques
 
Interests
 
I wish to subscribe to
 

Course

tailor-made course
intensive course
functional course
"open" group course
language by telephone
language counselling
e-learning
expats
coaching
1 week intensive 12-18 years
1 semester +18 years
junior 3-12 jaar
a school project
a language project for a specific organisation
Other, please specify

 
Current level
  Absolute beginner  
  Elementary            
  Intermediate            
  Advanced            
 
When would you like the course to start
 
Eurospeak
 
Have you already taken classes at Eurospeak?
  yes            
  no            
 
Remarks
 
Messages (this might include your specific needs, goals, any remark,...) or quetions
 
Contact
 
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