Learn Spanish in Costa Rica
by Natural Spanish Institute
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Registration Form

Personal Information

Name:
Last name:
Sex: Male Female
Birth date:
Nationality:
Country:
City of residence:
Zip code:
Home address:
E-mail:
Confirm E-mail:
Phone Number:
Work phone:
Occupation:

Course Information

Program selection:
Number of weeks:
Start date:
Select Date
End date:
Select Date
Date Format: DD/MM/YYYY

Accommodations

I don't need accommodations.
Family stay, individual room.
Family stay, double room.
Hotel.
I don't mind pets at home.
I don't mind staying with a family who smokes.
I am a smoker.
I would like vegetarian meals.
  Other comments.

Transportation from the Airport.(optional)

I don't need transportation from the airport.
I would like transportation from the airport.
   
Flight number:
Airline:
Departure city:
Date of arrival:
Select Date
Approximate time:
The institute provides transportation only from/to Juan Santamarķa International Airport.
Notify us of any changes to your itinerary.

Other

Form of payment
Credit card:
Visa:
Master Card:
Other types of cards are not accepted.
Bank account:

How did you learn about NSI?

Internet
Friend Refereal
Publicity (brochures, pamphlets)
Other

Additional Information..