Email 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 Programme * Maxilangue Maxilangue combiné Maxilangue + Full board accommodation * Chambre Magnanerie Chambre Château Total amount Total pour votre séjour = € Accompte 20% deposit to validate your registration = € Dates * Lenght of stay (in weeks) * Terms of payment A 20% deposit is required upon registration for private people. The outstanding balance will be due one week before the beginning of the course at the latest. 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 *
