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Personal Data

Family name  (*)   Family name
Name  (*)   National Identification Number  
Address  (*)   Postal code  (*)
Population  (*)   Province  (*)
Country (*)  Nationality
E-mail      
Date of Birth  (*)   Sex  (*)
dd/mm/yyyy
Contact Tel.  (*)   Tel. Others
How did you learn about Where & What?  (*)
Selection
  Course N º
  Place / Center
  Course name
  Start date (*)   
  dd/mm/yyyy
  Duration in weeks  (*)  
Accommodation  (*)
Accommodation is expected from Sunday previous to the beginning of the course until next Saturday to the course end.

  Smoker If Not  
  Alergies If Not Type
  Special diet If Not Type
  In case of host family accommodation
  Do you like pets? If Not
Optional services
· Do you want that Where and What gives you a budget of a plane ticket?    If     Not
The air ticket budget will be made from Sunday previous to the beginning of the course, until Saturday after the course is finished.
· Do you want a transfer special budget with an extracost?    If     Not
· Do you need a Medical Insurance budget at an extra cost?    If     Not
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¿Cómo realizar la inscripción?

Reserve   300 euro; to proceed with the Inscription
  Bank transference Transfer details:- Name of IRC and account: WHERE & WHAT, SL.- Address of IRC: Santalo 87 -08021 Barcelona- Spain- Name of Bank: LA CAIXA DE PENSIONS:- Bank address: Santalo, 69.- 08021 Barcelona.- Spain Swift code: CAIX ES BB xxx.- Account no. 2200572703.- IBAN: ES71 2100 3025 9122 0057 2703.- It is necessary to send a copy of the payment by e-mail or fax.
  Credit card
  Bank check
  Cash
Rest of the program will have to be paid for bank transference as maximum twenty previous days of the date of exit
Total amount:
Amount Reserves: 300,00 €
Hanging amount: ( The hanging amount does not include optional services of processing)
 
I accept term conditions from Where & What (See)
         
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The prices include
· Check at each program
The prices do not include
· Bill of plane.
· Medical assurance and of accidents (optional):
Europe: 50 euro; / month. I reduce countries: 70 euro; / month.
In case of the USA Universities it is compulsary to acquire their medical assurance
· Tariff of visa
General Conditions Politics of privacy