INFORMATION ABOUT THE
COURSE PARTICIPANT
Salutation
*
Select one
Mr.
Mrs.
Miss
Dr.
Rev.
First name
*
Last name
*
Address - Street
*
Address - Number
*
Address - City
*
Address - ZIP or PC
*
Address - State or Province
*
Address - Country
*
Phone
*
area code:
number:
Cell Phone
*
The one you will use
in Belgium. We want to be able to contact you in case of an emergency
Email
*
Birth year
*
January
February
March
April
May
June
July
August
September
October
November
December
19
Country of citizenship *
E.U. / SCHENGEN CITIZEN
Andorra
Argentina
Australia
Brasil
Brunei
Canada
Chile
Costa Rica
Croatia
El Salvador
Guatemala
Honduras
Iceland
Israel
Japan
Liechtenstein
Malasia
Mexico
Monaco
Nicaragua
New Zealand
Panama
Paraguay
San Marino
Singapore
Slovenia
South-Korea
UNITED STATES
Uruguay
Vatican
Venezuela
OTHER
If your country does not appear on the list, choose "other" at the
very end. Only citizens listed above can travel visa-free to
Belgium. Others will need to apply for a VISA.
INFORMATION ABOUT YOUR
COMPANY
For those sponsored by a
company or organization. If not
click here
Please send the invoice to:
Name company
Street
Number
City
ZIP
State or Province
Country
F or the attention of:
Contact first name
Contact last name
Salutation
Select one
Mr.
Mrs.
Miss
Dr.
Rev.
Phone
area code:
number:
Email
ABOUT THE COURSE
In which program would you like to participate?
*
INDIVIDUAL
Program. An individualized program for people who wish to
learn French, Dutch or German in the shortest possible period of time, or for those
who wish to do a fast and effective overhaul.
Check fees
I-30
(30 hrs of class & activities / week)
I-45 (45
hrs of class & activities / week)
I-60 (60
hrs of class & activities / week)
A LA CARTE
program. The program is specifically designed to train a
group from one company .
Check fees
A-30 (30
hrs of class & activities / week)
A-45 (45
hrs of class & activities / week)
A-60 (60
hrs of class & activities / week)
participants:
select one
3
4
5
6
DUO Program.
A program for two people who want to learn
French, Dutch or German
together .
Check fees
First and last name 2nd
participant:
Email 2nd participant:
Choose your program :
D-30 (30
hrs of class & activities / week)
D-45 (45
hrs of class & activities / week)
D-60 (60
hrs of class & activities / week)
Please bill us
separately
Do you want to have one-on-one
classes?
Check fees
WEEKEND PROGRAM.
If you reside or will
be in Belgium but can’t be away for a language immersion course from Monday
to Friday, we have the weekend immersion program.
Check fees
W-20 (one
weekend)
W-60 (three
weekends)
When do you want to start your training?
*
Flexible on when visiting us?
Save up to 20%
during our BlueWeeks!
More information/check
calendar (a new window will open)
January
February
March
April
May
June
July
August
September
October
November
December
20
Number of weeks
*
Select one
1 week
2 weeks
3 weeks
4 weeks
5 weeks
6 weeks
7 weeks
8 weeks
I will arrive by... *
...plane and need airport pick-up.
...train
and need station pick-up .
...car.
Car make:
OPTIONAL SERVICES
All of our language programs can be
enhanced with a
cross-cultural awareness package .
Airport pick-up
(provided by
Jagam )
Coaching program:
30
hrs. after the residential course.
After your stay at the Anders Languages® , one of your
instructors will become your own personal coach, who will make sure that
you continue using the language you have just learned in your day-to-day
activities.
Check fees
4 additional classes on Saturday morning (9 AM
to 2 PM)
1st week
2nd week
3rd week
4th week.
Check fees
Welcome pack. On arrival day you
can have dinner and visit downtown Hasselt with an instructor
4-hour
visit, including a meal and drinks at “De Zwaan” restaurant.
Check fees
ACCOMMODATION
Additional nights. Arrival day is Sunday;
departure day is Saturday (included in the fees). *
-
0
1
2
3
4
5
night(s) BEFORE the training (the training starts at 9 A.M.
Mondays) .
Check fees
-
0
1
2
3
4
5
night(s) AFTER the training (the training ends at 2:00 P.M.
Fridays) .
Check fees
Guest plan
room only.
Check fees
room + full board.
Check fees
OTHER
Date of arrival
(dd/mm/yy)
(if available)
Time of arrival
(if available)
Airline and flight N°
(if available)
From
(if available)
Departure date
(dd/mm/yy)
(if available)
Departure time
(if available)
Please list any medical or religious
restrictions regarding food.
Please use this box to write any comment
Please, re-enter email (for verification)
*
Reference number (if available)
Enter the security code shown below.
This is to prevent
unauthorized automated scripts.
By submitting your registration
information, you indicate that you agree to our
Sales Terms