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                                          Registration Form
                Full-Time (25 hours/week) English & French Language Programs

First Name:
Last Name:
Country:
E-Mail address:
Telephone:
Fax:
Course I wish to take: English
French
Spanish
My level is (to be confirmed):
I wish to take the following session: 4 weeks
8 weeks
12 weeks
16 weeks
20 weeks
24 weeks
Other
I wish to start my course on the following date: / /
I need assistance for my accommodation in Montreal: Yes
No
Please provide information on: Room
Appartment
I would like to occupy the room/apartment as from: / /
Additional Comments