Order Number YOUR DETAILS Name * Surname * Email * Cellphone (only) * Profession * Age Nationality * Adress * FRENCH SELF EVALUATION Oral comprehension * A1 A2 B1/B2 C1 Written comprehension * A1 A2 B1/B2 C1 Oral expression * A1 A2 B1/B2 C1 Written expression * A1 A2 B1/B2 C1 YOUR STAY AT MILLFEUILLE Dates 2024: 17 March-6 April, 5-31 May, 30 June-24 August, 29 September- 18 October Programme * Maxilangue Maxilangue combiné Maxilangue + Full board accommodation * Chambre Magnanerie Chambre Château Total amount Total pour votre séjour en 2024 = € Accompte 20% deposit to validate your registration = € Dates * Lenght of stay (in weeks) * Payment method * Bank transfer VISA Eurocard Mastercard / AMEX Amount to charge Card number Expiration date Cryptogram Comments By submitting this form, you accept Millefeuille's confidentiality policy. https://www.millefeuille-provence.com/politique-de-confidentialite/ Politique de confidentialité *