Spanish Immersion in Guadalajara

Application Form


In order to confirm your stay we require a non refundable deposit of 100 USD. You can pay this deposit online with your credit card or paypal account. As soon as we receive your payment we will confirm you your stay with Guadalajara Language Center. Click here to for more information how to pay the deposit fee.

Personal Details

First name: *
Last name:*
Date of Birth: *
Day
Month Year
Gender:* Male Female
House number/ name:
Street:
Town:
City:
Province/State/County:
Post/Zip Code:*
Country:*
Home Phone Number:
Mobile Phone Number:
Work Phone Number:
Email address: *
Confirm Email address: *
What Languages do you Speak?:

Course Details

Course Starting Date: *Day Month Year
Course Type: *Group Private Internet
Spanish in a day
Special Offer
Number of Weeks: *
Estimate your level of Spanish:
Beginner
Intermediate
Advanced

Accommodation Details

Accommodation Type: *
Accommodation Starting Date: Day Month Year
Accommodation End Date: Day Month Year
Estimated Arrival Time:
Children Preference:
Pet Preference:
Smoking Preference:
Vegetarian: Yes No
Special Food Requirements/Allergies:

Activities

Teuchitlan Tour Cooking Classes Tequila Tour
Mescala Island Arts & Crafts classes Chapala Tour
Volunteer work

Arrival Information

Airport pickup? ($31 USD) : Yes No
Airport drop of? ($16 USD) : Yes No
Arrival Date: Day Month Year
Airline:
Flight Number:
Coming From:

Additional Information


Message:

How did you find us?

Web page:


IMPORTANT: On submission of this form you will receive confirmation by email of your Spanish course program, accommodation and your course fees in total. Fees are expected to be paid on the first or second day of your course. We ask for a 100 USD deposit. This deposit will be deducted from the total amount of your course and accommodation fees. We dont ask for course or accommodation fees prior to arrival. However, once you have submitted this form we will begin the administration of your application. We will confirm your Spanish course placement, book your accommodation if necessary and organize your airport pickup if requested. Therefore, please do not abuse the online application process. We assume that all applications are real with accurate data. If you require further information prior to submitting an application please use this form http://www.glc.com.mx/contact.htm. If you require a fee quote, our course prices can be found at http://www.glc.com.mx/prices.htm.

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