Paris Course Selection

COURSE SELECTION *

PAYMENT METHOD *

FULL payment is due by the start date of class. Note that course fees include all materials and VAT of 20%.

PAYMENT BY WIRE/SWIFT

Bespoke Education France
FR76 3006 6100 4100 0205 9240 154
Code BIC: CMCIFRPP
4 rue de Chevreuse 75006 Paris

STUDENT INFORMATION *

First

Last

Email *

Email

Phone

School *

School

Graduating Year *

Graduating Year

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

PARENT 1 INFORMATION *

First

Last

Email

Phone

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

PARENT 2 INFORMATION

First

Last

Email

Phone

PARENT AUTHORIZATION

Your initials indicate your understanding that there will be no make-up classes or refunds for missed classes:

Parent Initials *

Date (Date/Month/Year) *

Paris, France