Individual Registration

Please enter your information in the form below to process your registration for Community German Class - 1 hour - 6th June.

First Name *

Last Name *

Postcode *

Email *

Comment

What is your level of German?

no previous knowledge

limited previous knowledge (numbers, colours, etc...)

basic previous knowledge (simple sentences, introducing yourself, self taught)

evolving previous knowledge (can communicate in a simple way)

not sure/other

Coupon

Amount

AU$

Discount Amount

AU$

Gross amount

AU$

Payment Method

Credit/Debit Card (via PayPal)

Billing Zipcode*

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Type*

Card Holder Name*

By registering for this course, I accept the Terms and Conditions

Phone Number