Application Form BlueseaSchool Name Surname Sex Male Female Date of birth Nationality Documents C.I. Passport Zip code Address City Number Country Telephone Fax e-Mail Italian Knowledge Beginner None Beginner Intermediate Advanced Spoken Written Reading Comprehension   From To Number of Weeks 1 2 3 4 Price € I enclose the deposit for accomodation Postal order receipt € to: Bluesea School Via Monteroni, 9 - 73040 Magliano (Le); Travel Cheque not Trasferible to: Bluesea School Via Monteroni, 9 - 73040 Magliano (Le); Bank Transfer receipt to: Unicredit Banca, city Carmiano (Le) Zip-code 73041 BIC (Bank Identifier Code): UNCR IT 2B IBAN (International Bank Account Number): IT 81 J 03002 79500 000020038127   www.sciroccomedia.eu www.webrising.it