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Online French Course Registration 2020
Welcome to the Alliance Française Potchefstroom. You are taking the first steps to learning a new language! Please take your time and fill in all the fields.
20
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1
Student Name
*
This field is required.
First Name
Last Name
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2
How did you hear about us ?
*
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Instagram
Twitter
Facebook
I searched on Google for French courses
Someone referred me to AF Potch
The AF Potch website / blog
Youtube
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3
Student E-mail
*
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4
Student Mobile Number
*
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Area Code
Phone Number
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5
Age of student
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6
Birth Date of student
*
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-
Month
Day
Year
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7
Nationality of student
*
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What is your nationality ?
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8
Languages
*
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What is your mother tongue ? What other languages do you speak ? (student)
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9
Do you (the student) have any previous knowledge of French
*
This field is required.
YES
NO
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10
If you answered yes to the previous question, please describe your knowledge of French
Where did you have classes ? For how long ? When ? etc. This is so that we can make sure that you are in the correct class.
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11
Did you ever do a French language examination
*
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Please Specify
No
A1
A2
B1
B2
C1
C2
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12
Course Catalogue
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13
Courses
*
This field is required.
Which French course are you interested in ?
A1.1 Kids complete beginners (7-9) - R1100 (Mondays 14:00-15:15)
A1.1 Teens/Kids complete beginners (10-13) - R1100 (Thursdays 14:00-15:15)
A1.1 Teens complete beginners (13-17) - R1100 (Wednesdays 14:00-15:15)
Private lessons (1 or 2 people) - R4150
A1.1 Student & Adult - R1950
A1.2 Student & Adult - R1950
A1.3 Student & Adult - R1950
A2.1 Student & Adult - R1950
A2.4 Student & Adult - R1950
B1/B2 Conversation classes R1000
A1 Conversation classes - R1000
A2 Conversation classes - R1000
A1.1 Kids complete beginners (7-9) - R1100 (Mondays 14:00-15:15)
A1.1 Teens/Kids complete beginners (10-13) - R1100 (Thursdays 14:00-15:15)
A1.1 Teens complete beginners (13-17) - R1100 (Wednesdays 14:00-15:15)
Private lessons (1 or 2 people) - R4150
A1.1 Student & Adult - R1950
A1.2 Student & Adult - R1950
A1.3 Student & Adult - R1950
A2.1 Student & Adult - R1950
A2.4 Student & Adult - R1950
B1/B2 Conversation classes R1000
A1 Conversation classes - R1000
A2 Conversation classes - R1000
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14
Which book would you like to buy from us ?
Books can only be sent in South Africa and neighbouring countries
Saison A1 Textbook & activity book
Décibel A1 Textbook & activity book
Saison A2 Textbook & activity book
Zig Zag A1 Textbook & activity book
None
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15
Person responsible for course payment
First Name
Last Name
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16
Email address for invoice
*
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example@example.com
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17
Please provide the full address to where we must courier the textbooks
*
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If you are not buying a book, please write N/A
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18
Please read the T's & C's
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19
Terms and Conditions
I hereby accept the terms and conditions as stated in the catalogue.
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20
Do you have any questions or comments for us ?
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