Total French Experience

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First Name*

Family Name*

Address*

City*

Post Code*

Country*

Your Email:*

Phone Number*

Mobile*

Which Total French Experience do you want ?*

Start date, first preference*

Start date, second preference*

Start date, third preference*

Number of weeks*

Accommodation:

I will contact you to arrange my stay
in the type of accommodation that would suit me best

I would arrange my own accommodation
www.serre-poncon.com - Tel 00 33 (0)4 92 21 17 08

My ability to speak French:

Beginner

Intermediate

Advanced

DECLARATION BY THE HOLIDAYMAKER I have read Total French Experience's Terms and Conditions. I accept them and understand that cancellation fees are applicable if I need to cancel for any reason.

Special requests/Comments:

La Voilerie

34, rue Perdiguier

05160 Savines-le-Lac

France

Tel: +33(0)492458068

Mob : +33(0)661217384

Web sites : http://www.totalfrench.net/

http://www.totalfrenchexperience.com/

info@totalfrench.net

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