Business German
Courses for Excecutives

Business German Course - Online Enrolment Form

You can send us this form online or print it and fax (+49-951-204 474) or post it. An E-mail address is required for online-enrolment. Sending the form by letter or fax is only recommended if you do not have an e-mail address.

Please read the conditions before you complete and submit this enrolment form.

	make use of our encrypted transfer service. [Access to secure form ]

When pressing the submit button at the bottom of this page, you will automatically get a copy of the transferred data via E-mail. Please store this receipt or print this document. You will receive our confirmation within 36 hours.

* The information marked with a red asterisk is required.

Alexandra von Rohr wird Ihnen im Laufe der nächstten 36 Stunden persönlich antworten

Alexandra von Rohr,
Principal of
TREFF PUNKT

1. Personal Data

Title: Mr.* Ms.* Miss*
Last name: *	First name: *
Date of birth: * (yy-mm-dd)	Nationality: *
Company or University:	Profession:

2. Address

House, street: *	City: *
P.O. Box (if relevant):	Postal Code: *
Country: *	E-mail: * Please make sure that this address is correct!
Telephone: *	Fax:

3. Type of Course *

One-to-One: Individual training
20 lessons per week
25 lessons per week
30 lessons per week
40 lessons per week
lessons per week

Combined course
20 lessons in a group plus 10 One-to-One lessons per week
20 lessons in a group plus One-to-One lessons per week

If you are interested in online learning via Skype, you will find all information below Learn-German-via-Skype.com .

TopicClub-Seminar: yes no
Name of seminar?

4. When I start the course my level will be:

Level A1 - complete beginner / some words
Level A2 - basic knowledge
Level B1 - fairly good
Level B2 - good
Level C1 - very good
Level C2 - excellent

I am learning/I have been learning German with the following book to ...

Name of the book:

Chapter no.:

5. Duration of course *

From: - -

to: - -

6. Additional services

6.1 Accommodation

Single room with a German of my age
Family home with breakfast
Family home with half-board
Guest houses, B&B and hotels of all categories
      from EUR 40 to 75 per night
      from EUR 75 to 100 per night
      from EUR 100 per night
Self-contained apartment / studio of all sizes EUR 40 to 80 per day
No accommodation arrangement necessary

6.2 Transfer arrangements yes no

I would like a taxi transfer from airport to Bamberg.

6.3 Insurance yes no

I am taking out health, liability and accident insurance for 15 EUR / week for week(s). The insurance coverage begins on the first day of the course. The detailed insurance conditions are:

Health insurance in English or German
Liability insurance in English or German
Accident insurance in English or German

6.4 Travel insurance to cover cancellations yes no

Should I not be able to start my trip, I would like to be protected from cancellation fees. Therefore I am taking out an insurance to over the amount of :

programme fees                   tariff
- up to € 500             =            € 22
- up to € 1.000          =            € 33
- up to € 2.000          =            € 44
- from € 2.001 onwards =      2.1% of the programme fee

When taking out the insurance, it has to be paid together with the enrolment deposit at least four weeks before your course starts. Please read the conditions.

7. Enrolment deposit *

I would like to pay the enrolment deposit of EUR 150 by:

Credit Card (Visa, Master/Eurocard)

Please take payment from the following credit card:

first name, last name

EUR 150 enrolment deposit

credit card organization

- - - credit card number 16 digits

/ expire date

Bank transfer

I will make a bank transfer of EUR 150 net within the next 7 days to the following account:

Sprachinstitut Treffpunkt Alexandra von Rohr Deutsche Bank AG Lange Strasse 37 D-96047 Bamberg Lange Straße 37 D-96047 Bamberg/Germany IBAN: DE65 7607 0024 0808 8833 00 BIC (Swift-Code) DEUT DE DB 762	or	Sprachinstitut Treffpunkt Alexandra von Rohr Deutsche Bank AG Lange Strasse 37 D-96047 Bamberg Lange Straße 37 D-96047 Bamberg/Germany Kontonummer: 80 888 33 Bankleitzahl: 760 700 24 SWIFT: DEUT DE DB 762
* Note: The appropiate bank details depend on the Bank or/and your home country.

Pay Pal transfer

Note: we will send you the link for payment with your course confirmation

8. Further information, questions or comments

Comments: If you have any questions, comments or information that you would like to submit, write it in the box below. Use your 'CTRL' return at the end of each line.

Note: When sending the enrolment form, you:

have read and accepted the Conditions
will effect the payment of EUR 150 enrolment deposit within the next 7 days
are aware that your enrolment is binding herewith.

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Contents: Alexandra von Rohr, E-mail: info@businessgerman.com, Language Institute TREFF PUNKT, Bamberg / Germany
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