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On-line Spanish lessons registration form

Please fill out the form below for information or to apply to our on-line Spanish lessons. You will hear back from us very soon!

Note: You have to please enter a valid e-mail address to be able to submit the form:

Name:


E-mail:



Country:


Telephone:



Gender:
 Male    Female

Age:


Dates you wish to study:
Please choose dates from the calendar icon

From:

To:

Time you wish to start your lessons (Ecuadorian time -5 hours GTM)

Current time in Ecuador is:

Hours per day:


Level of classes:

Message, questions, comments or special requirements:



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Payment Options:
Credit card (Mastercard, Visa, American Express or Diners) through:

Please feel free to contact us:

E-mail: info@simon-bolivar.com
Tel/Fax:  (593-2) 223 4708
              (593-2) 254 4558
              Quito, Ecuador

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