• If you are already Pylmon Languages student, you can make the payment directly, there is no need you fill in the application form again.
  • Only for students who are already enrolled.
    • Make the payment online

Registration Form - Other Languages Courses

*Surname     
*Name  
Sex   M F
*Adress  
*City  
*Zip Code  
*Nationality  
*Passport Number  
*Phone  
Mobile Phone  
Fax  
*E-mail  
Date of Birth   / /
Ocupation  
Phone Number (Work)  
*Country  
 
INVOICE    
Address:  
Zip Code  
Country:  
     
SELECTED LANGUAGE   LEVEL
ENGLISH   Basic Elementary Pre-Intermediate Intermediate Advanced
FRENCH   Basic Elementary Intermediate Advanced
CHINESE   Basic Elementary Intermediate Advanced
JAPANESE   Basic Elementary Intermediate Advanced Superior
CATALAN   Basic Elementary Intermediate Advanced
 
SELECTED COURSE    
COURSES 2 HOURS   Days:  Hours:
COURSES 3 HOURS   M-T W-Th F Hours:
1-ON-1 CLASSES   Nº of Hours: Hours:
COMPANIES  
INTENSITY SUMMER   Hours:
    Starting Date / /
    Date Order / /
Observations  
 
YOU HAVE COME TO KNOW ABOUT US...    
Friend Internet Google Travel agency
Announcement Mailings Other
 
HOW TO PAY    
CASH    
     

BANK TRANSFER.

 

Bank account details:

Pylmon Languages s.l.

Bank: La Caixa

Account nº: 2100 - 2878 - 66 - 0200714710

IBAN: ES77 2100 2878 6602 0071 4710

BIC code (SWIFT): CAIXESBBXXX

Address: Av.Diagonal, 431 bis - 08036 Barcelona

Please fax us a copy of the bank transfer whit your name. FAX (+34)933178192 (All bancks charges are paid by the sender)

     

CREDIT CARD , Only VISA, MASTERCARD or AMERICAN EXPRESS (We can't accept other credit cards)

     
* I have read and accept the General Conditions of Pylmon Languages