Registration Form 2012

Personal information All fields required
Date of birth(dd/mm/yyyy) Sex M
F
Native Language Nationality
Tel. E-mail
Address    
Level of studies or profession    
French level

How did you find out about Lyon Bleu ?




Accommodation

I don't want Lyon Bleu to look for accomodation for me : I'll do that myself
I would like to reserve accomodation from to
Choice of Accomodation :

I enclose a 150 euros advanced payment on the price of the accomodation reserved, + 35euros in accomodation finding fees. I will pay the remainder of the fees on my arrival. I have understood and accept the conditions outlined in the document entitled «règlement intérieur ».

Important information that will help us to choose your family : (smoker/non-smoker, allergies, particular dietary requirements, city centre, etc) :



Choose my first course
Session from to (dd/mm/yyyy)


My classes

You haven't selected any courses for the moment



Total for your courses

TOTAL CLASSES :

Deposit of 30 % of the total price for classes :

Accomodation deposit 150 € :

Accomodation booking fee 35 € :

Administrative fees 45 € :

TOTAL FOR REGISTRATION PURPOSES (deposit + accomodation) =


Choice of payment

By cheque or International Money Order in EUROS made out to Lyon Bleu International, to be sent to Lyon Bleu International, 82 rue Duguesclin, 69006 Lyon, France.

By bank transfer (Attention : all bank fees incurred by the transaction are to be paid by the student)

By telephone through our administrative service : please contact us during office hours at : 00 33 47 86 07 326

By VISA or credit card



I declare:

To have read and understood the "contrat de formation" and the "règlement intérieur" and fully accept them.

To have read and understood the conditions of registration and canceling of classes and fully accept them

That I will pay the remainder of fees due before the first day of classes at Lyon Bleu International