ENROLLMENT FORM
Family Name :
Last Name :
Company Name :
Job Title :
Business Nature :
Telephone (office) :
Telephone (mobile) :
Fax :
E-mail :
Mailing Address :
Course to Enroll :
For TOTAL IMMERSION PROGRAM, please state your city of preference :
Beijing
Shanghai
Others, please specify
  Preferred Date of Program :
  From (dd/mm/yy) To (dd/mm/yy)
  Present Level of Chinese :
No background Elementary Intermediate Advanced
Other Requests :