Registration form – Sprachschule Aktiv Bremen Registration for courses Personal data Salutation: – Bitte auswählen –MrsMr Company: First name (*): Surname (*): Phone (*): E-Mail (*): Address Straße (*): House number: (*): Postcode (*): City(*): Course information Which language do you want to learn? (*) : Course type (*): – Bitte auswählen –4-week Intensive Course: €499.00Special Offer: 16 Weeks: €449.00/month - €1796.00 totalSpecial Offer: 2 Months + Telc Exam: €1099.00Special Offer: Four Months German Evening Course for €998.00German Evening Course €279.00 for four weeksGerman Course for Visa: €499.00 per monthGerman FSP Preparation €699.00 for four weeksSpecial Offer: German FSP Preparation €1198.00 for eight weeksEvening Foreign Language Courses €279.00 for four weeksPrivate Lessons Level (*): A1 (beginner)A2 (elementary)B1 (intermediate)B2 (vantage)C1 (advanced)C2 (proficiency) Start of course (*): Duration of the course (*): Desired number of hours: Payment: Cash during business hours in our officeTransfer Remarks, notes: (*) I have taken note of and agree to the General Terms and Conditions (including the right of withdrawal). I have taken note of the information on data protection. (*) I hereby expressly agree that you may commence performance of the service before expiry of the withdrawal period and expressly request this. I am aware that my right of withdrawal is lost upon complete fulfillment of the contract. I am also aware that I am obliged to pay compensation for any partial services already provided (e.g. examination fees incurred, similar expenses or lessons already taken) if I withdraw from the contract before the service has been fully provided. Δ