MB Scambi Culturali - FORMAZIONE ALL'ESTERO Via San Biagio, 13 - 35121 Padova - ITALIA Tel. +39 049 8755297 - Fax +39 049 664186 E-mail: incoming@mbscambi.com Sito: www.mbscambi.com/incoming

CONTACTS › Information request for MB International Winter Camp for groups

NAME * FAMILY NAME * ADDRESS * CITY * POSTAL CODE * COUNTRY * NATIONALITY * TELEPHONE * E-MAIL * Language Programme Choose English Programm at the Winter Camp Italian Programm at the Winter Camp * Information»   Starting Dates * Length of stay in weeks Choose---------------- 1 week 2 weeks Language Level Specify you language level A1 - Beginner A2 - Elementary B1 - Lower Intermediate B2 - Intermediate C1 - Higher Intermediate C2 - Advanced Interest for the course Choose One or more (click+ctrl for multiselection)----- Improve language level Holiday Practice sport Specify group size, average age and group charachteristics Comments I give authorization to treat my personal data for the purpose of requesting information and according to the Italian Law 196/03 Please call me Choose-------------------- within 10 days within 20 days

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