Form - ENG Course | Bertrand Russell

Registration Form for English Language Courses

To enrol in our English courses, please fill out the registration form below. Please try to complete as many fields as possible.

PLEASE NOTE – Course registration is only effective upon payment of at least one month's course fee. The deposit can be paid online via bank transfer or international money order.

First name

Last name

Phone

Birthday

Day

Month

Year

Nationality

Place of Birth

Passport Number

Gender

Male

Female

I would like to enrol in an English Course that starts in:

2025:

2026:

I would like to sign up for:

3 months - (50 hours) €600.00

SPECIAL OFFER - 6 months (100 hours) €1,100

SPECIAL OFFER - 9 months (150 hours) €1,500

If you wish to attend more than one consecutive week/month, please indicate the number of courses you wish to attend (e.g., 2 months, 3 weeks, etc.)

I need accommodation:

YES

If you do need accommodation, please indicate which type of accommodation:

I would like to pay by:

Credit Card

Bank Transfer

NB: Completing the registration form constitutes a reservation request. Confirmation of accommodation will be provided by the school.

Pursuant to Legislative Decree 196/2003 and EU Regulation 2016/679, we inform you that the personal data provided will be processed exclusively for purposes related to managing your registration, organizing activities, and sending any communications relating to the initiative.

Bank Details

ACCOUNT HOLDER: Bertrand Russell

BANK: Credit Agricole

ADDRESS: Piazza Insurrezione 35137 PADOVA

ACCOUNT NUMBER: 15296123

IBAN: IT73A0623012141000015296123

SWIFT or BIC code: CRPPIT2PXXX

ABI CODE: 06230

CAB CODE: 12141

VAT NUMBER: 05459440284

Registration Form for English Language Courses

I would like to enrol in an English Course that starts in:

Bank Details

PAY NOW