"" Then Set Mail = Server.CreateObject("Persits.MailSender") ' enter valid SMTP host Mail.Host = strHost Mail.From = Request("E-Mail") ' From address Mail.FromName = Request("FromName") ' optional Mail.AddAddress "info@patagoniaspanish.com" ' message subject Mail.Subject = Request("Subject") ' message body Mail.Body = Request("Body2") & chr(10) & chr(10) & "Surname: " & Request ("FromName") & chr(10) & "First Name: " & Request ("Firstname") & chr(10) & "Nationality: " & Request ("Nationality") & chr(10) & "Sex: " & Request ("Sex") & chr(10) & "Date of Birth: " & Request ("Birth") & chr(10) & "Address: " & Request ("Address") & chr(10) & "Zip Code: " & Request ("Zipcode") & chr(10) & "City: " & Request ("City") & chr(10) & "Country: " & Request ("Country") & chr(10) & "Phone: " & Request ("Phone") & chr(10) & "FAX: " & Request ("Fax") & chr(10) & "E-Mail: " & Request ("E-Mail") & chr(10) & "Confirmation of E-Mail: " & Request ("E-Mail2") & chr(10) & "Emergency contact (name and phone): " & Request ("emergency") & chr(10) & "Profession: " & Request ("Profession") & chr(10) & "Spanish level: " & Request ("Spanish") & chr(10) & "Company/University: " & Request ("Company") & chr(10) & "Years you have been studying Spanish: " & Request ("Spanish2") & chr(10) & "Expectations, needs, interest for your Spanish program: " & Request ("expectations") & chr(10) & "Mother tongue: " & Request ("mothertongue") & chr(10) & chr(10) & "I WISH TO BOOK (WEEKS): " & chr(10) & Request ("Book") & " weeks in Patagonia" & chr(10) & Request ("Book2") & " weeks in Buenos Aires" & chr(10) & Request ("Book3") & " weeks in Mendoza" & chr(10) & Request ("Book4") & " weeks in Ushuaia" & chr(10) & Request ("Book5") & " weeks in Chile" & chr(10) & chr(10) & "Program: " & Request ("Program") & chr(10) & chr(10) & "ONLY for BUENOS AIRES: " & chr(10) & "Start date of classes: " & Request ("scd") & "-" & Request ("scm") & "-" & Request ("scy") & chr(10) & "Arrival Date: " & Request ("sad") & "-" & Request ("sam") & "-" & Request ("say") & chr(10) & "Accommodation: " & Request ("Accomm") & chr(10) & "Airport transfer(yes/no): " & Request ("Airport2") & " --" & "Airport details: " & Request ("Airport") & chr(10) & "Tango: " & Request ("Tango") & chr(10) & chr(10) & "ONLY for PATAGONIA: " & chr(10) & "Start date of classes: " & Request ("scd2") & "-" & Request ("scm2") & "-" & Request ("scy2") & chr(10) & "Arrival Date: " & Request ("sad2") & "-" & Request ("sam2") & "-" & Request ("say2") & chr(10) & "Accommodation: " & Request ("Accomm2") & chr(10) & "Airport transfer(yes/no): " & Request ("Airport22") & " --" & "Airport details: " & Request ("Airport9") & chr(10) & chr(10) & "ONLY for MENDOZA: " & chr(10) & "Start date of classes: " & Request ("scd3") & "-" & Request ("scm3") & "-" & Request ("scy3") & chr(10) & "Arrival Date: " & Request ("sad3") & "-" & Request ("sam3") & "-" & Request ("say3") & chr(10) & "Departure Date: " & Request ("dia") & "-" & Request ("mes") & "-" & Request ("ano") & chr(10) & "Accommodation: " & Request ("Accomm3") & chr(10) & "Do you smoke: " & Request ("smo") & chr(10) & "Le molesta si fuman en la casa?: " & Request ("smo2") & chr(10) & "Le molesta una familia con chicos: " & Request ("chi") & chr(10) & "Vegetarian food?: " & Request ("veg") & chr(10) & "Airport transfer(yes/no): " & Request ("Airport33") & " --" & "Airport details: " & Request ("Airport3") & chr(10) & chr(10) & "ONLY for USHUAIA: " & chr(10) & "Start date of classes: " & Request ("scd4") & "-" & Request ("scm4") & "-" & Request ("scy4") & chr(10) & "Arrival Date: " & Request ("sad4") & "-" & Request ("sam4") & "-" & Request ("say4") & chr(10) & "Accommodation: " & Request ("Accomm4") & chr(10) & "Airport transfer(yes/no): " & Request ("Airport44") & " --" & "Airport details: " & Request ("Airport4") & chr(10) & chr(10) & "ONLY for CHILE: " & chr(10) & "Start date of classes: " & Request ("scd5") & "-" & Request ("scm5") & "-" & Request ("scy5") & chr(10) & "Arrival Date: " & Request ("sad5") & "-" & Request ("sam5") & "-" & Request ("say5") & chr(10) & "Accommodation: " & Request ("Accomm5") & chr(10) & "Airport transfer(yes/no): " & Request ("Airport55") & " --" & "Airport details: " & Request ("Airport5") & chr(10) & chr(10) & "Health: " & Request ("Health") & chr(10) & "Comments: " & Request ("co") & chr(10) & "How did you hear about us: " & Request ("How") & chr(10) strErr = "" bSuccess = False On Error Resume Next ' catch errors Mail.Send ' send message End If %>*/?> AIE Spanish schools - Application Form.

ENROLLMENT PROCESS
The enrollment process is easy and fast. Students have to complete the online Application Form and then we book all requested services in advance (course, accommodation, airport transfer, etc). We will send you all this information by e-mail to confirm and show you all your bookings, including payment procedures. This process only takes 24 hours (48 hours on weekends). In this way we can guarantee the exact type of program you request, offering the best service.

For further information please email us to info@spanishschools.com.ar
APPLICATION FORM
Surname
First name
Nationality
Sex
Date of Birth (mm/dd/year)
Address
Zip Code
City
Country
Phone Number
FAX
E-Mail
Please confirm your E-Mail
i
Emergency Contact in your country (Name & Phone):
Profession/occupation ---- Company / University / School
Your Spanish Level
Years you have been studying Spanish
Your mother tongue
Expectations, interest and needs for your Spanish program:

¿How did you hear about A.I.E.?

SPANISH COURSE
I Wish to Book (you can combine our locations):
weeks in Buenos Aires.
weeks in Patagonia (Bariloche town).
weeks in Mendoza.
Select your Program:

GROUP COURSE (20 group classes per week):

PRIVATE COURSE (Private Classes): 2 classes/day 3 classes/day 4 classes/day 6 classes/day 8 classes/day

COMBINED COURSE (20 group plus 10 private classes per week)

Only for BUENOS AIRES (complete only if you have selected Buenos Aires)

I wish to start classes in Buenos Aires: Day Month Year

Arrival Date in Buenos Aires: Day Month Year

Departure Date from Buenos Aires: Day Month Year

Accommodation:
Private Apartment
Homestay
with breakfast and dinner
Homestay with breakfast

Homestay without meals
Not required (I have my own accommodation)

Airport pick-up (we can arrange this service and you can pay directly to the driver, without extra cost):
Yes vv Novvv Flight details:
Tango Program (5 classes per week):
Yes vv No
Only for PATAGONIA, BARILOCHE TOWN (complete only if you have selected Patagonia)

I wish to start classes in Patagonia (Bariloche): Day Month Year

Arrival Date in Patagonia (Bariloche): Day Month Year

Departure Date from Bariloche: Day Month Year

Accommodation at:
Homestay
with breakfast and dinner
Not required (I have my own accommodation)

Airport pick-up (without additional cost):
No vv Yes vvv Flight details:
Only for MENDOZA (complete only if you have selected Mendoza)

I wish to start classes in Mendoza: Day Month Year

Arrival Date in Mendoza: Day Month Year

Departure Date from Mendoza: Day Month Year

Accommodation at:
Homestay with breakfast and dinner, + plus lunch at weekends
Homestay without meals
Not required (I have my own accommodation)

Vegetarian food: No Yes ----- Do you prefer only a family without children? No Yes -
Do you smoke: No Yes ----- Do you prefer only a non-smoking family? No Yes -

Airport pick-up:
No vv Yes
Flight details (flight number, airline, exact arrival date and time. The same if you arrive by bus):

ADDITIONAL INFORMATION
Health (allergies, medical treatment, etc)
Comments:

 

a
a A.I.E. - ARGENTINA IDIOMA ESPAÑOL
Tel./Fax: ++54 - 2944 - 525178
a Address: Otto Meiling 357- Zip Code (8400)
5
a Bariloche - Río Negro - Argentina