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E-Mail Address
Changing this will alter the member's login. Be sure to notify them if you do this.

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Full Name
Firstname(s) then Lastname.

 

Home phone number
Enter person's home phone

Work phone number
Enter person's work phone

Mobile phone number
Enter person's mobile phone

Reason for learning
Work, travel, leisure, academic, other

Objectives or specific goal
Please describe thoroughly

Level of french
Absolute beginner, intermediate, advanced.

Absolute beginner Intermediate Advanced

Comment
Add any additionnal comment or experience

Days & Time
Please indicate 3 different days/times you are available for your course, or alternatively list the times you are UNAVAILABLE

Location
Courses will be held at Alliance Francaise or at the following address. A fee occurs for each trip the tutor travels - please refer to fee index

Hours
How many hours would you like to purchase to start with ? Please note that all new students are also required to become a member of AF (yearly fee of $42)