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Your name *
Course selection: Which course ? Each session lasts 50'
Number of weeks *
When do you wish to start ? Please use the following format: dd/mm/aa. Example: 05/07/2010. Watch out! : Courses start every Monday. *
ACCOMODATION: WHAT TYPE *
Polyglot Trotter can pick you up at the airport for a 95 R$ fee and take you to your host family, flat or residence. Do you want to use this service ? *	Sim Não
Foreign students are required toi have a medical insurance while they're studying with us. Do you wish to contract our Polyglot TRotter Medical insurance ? *	Sim Não
Email *
Gender	Male Female
State or Department
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City
Comments *
How did you hear from us?
How would you rate your level in Brazilian Portuguese?
How old are you?	0-9 10-19 20-29 30-39 40-49 50-59 60+ It's none of your business.
Terms and Conditions	I accept all the clauses of Polyglot Trotter's the Terms and Conditions. Payments: To confirm your inscription you must send us a 95 R$ registration fee.After we receive the fee we'll send you via email a full detailed invoice. How to Pay: By bank Transfer By credit card with a 4% adjustment
What are your hobbies? *	Dance Music Capoeira Cooking Surfing Traveling Other:
Can you teach English?	Sim Não
Would you like to do some volunteering ?
Código de confirmação	Se o código não for bem visivel, por favor clique na imagem para atualizar Insira os caracteres da imagem O código não é sensível a maiúsculas e minúsculas Maximmo de tentativas: 10

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