APPLICATION FORM
This form can be printed and mailed or faxed (see the address and fax number at the bottom of this page), or it can be submitted on-line (via e-mail) by typing into the fields below and clicking on the submit button.

Name:	Sex: MF
E-mail Address:
Address and Tel/Fax In your Country:
Nationality:
Date of Birth:
Occupation:
Level of Spanish	Beginner   Elementary   Lower Intermediate Intermediate   Upper Intermediate   Advanced
How did you hear about I.L.E.E?	South American Handbook   Lonely Planet Guide Argentine Embassy  Former Argentina I.L.E.E. student University or Company (Please Specify) Study Abroad Guidebook (Please Specify) Other (Please Specify)
	I Wish to Book Weeks Program A Program B (private classes) 2 hours a day 4 hours a day 6 hours a day 8 hours a day Program C (group plus private)
	I Wish to Start Classes (Date) Arrival Data:
Homestay	Yes   No
Breakfast and Dinner	Yes   No
Hotel	Yes  No
Tango Program	Yes  No
Airport Transfer (if Yes give flight details)	Yes   No   Details:
Signature: Please fax proof of payment 3 weeks before commencement of program

Comments, questions, suggestions?: