Escola Idioma
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Please, fill in the form bellow. After this you will be redirected to the level test form.

Personal Information:
*All personal information is obligatory.

Family name*:
First name*:
Gender*: male        female
Date of birth*: (dd/mm/yyyy)
Passport number*:
Nacionality*:
Permanent Address*:
City*:
   State*:
Country*:
   Post Code*:
Phone:
   E-mail*:
Occupation:
How did you find out about IDIOMA?

Language Informations:

Native language:
Other languages and proficiency:
Have you studied already Portuguese? yes   no
If yes, how long?
Reason for study:

Course type(s) you wish to book:
*Course information is obligatory.

Group course (20 lessons/week)
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Group intensive course (30 lessons/week)
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Private tutoring (20 lessons/week)
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Private tutoring intensive (30 lessons /week)
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CELPE-Bras Examination Preparation
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Tailor made courses
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Evening Lessons Course
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Pronunciation of Brazilian Portuguese
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Language Exchange
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Volunteer work
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Carnival in Salvador Special 2008
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Capoeira Lessons
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Weekend in Jauá
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Bahian Cuisine Workshop
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Brazilian Dance Styles
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Portuguese and Dive
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Accommodation:
*Accommodation information is obligatory.

Family: First night: Escolha uma data
    Last night: Escolha uma data
    Allergies:
     
Pousada: First night: Escolha uma data
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Hotel: First night: Escolha uma data
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  Other:
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Own choice

Flight information:

Arrival date: Escolha uma data
Arrival time:
Airport pickup required:   yes     no
Air travel company:
Flight number:
Message:
 
Want to make a level test? yes       no

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IDIOMA - Escola de Português
Rua Greenfeld, 46, Ed. Cosme e Damião, Barra
CEP: 40140-250 - Salvador, Bahia, Brasil
Open from 8:00 a.m. to 6:00 p.m.
Local Time: 6:29 p.m. 		Tel.: 0055.71.3267 7012
Fax: 0055.71.3264 7432
contact@portugueseinbrazil.com
Escola Idioma