Alliance française de Canberra - Request Form

Request Form

French Online course


Personal Details :

E-Mail AddressEnter your email address.
Full NameMembers First and Last Names.
AddressStreet Address
Suburb / CityEnter a suburb name
PostcodeEnter a 4 digit postcode
StateEnter a state
CountrySelect a country
Contact PhoneEnter your phone number
Contact Mobile PhoneEnter your Mobile phone number
Gender
 
Date of Birth

Student info

Currently enrolled at school in Australia
  
Currently enrolled in a class at
Alliance Française in Australia
  
Have you ever studied French in the past
  
Where? When?



Lesson Information

What are your objectives
Which online access would you like to purchase?



Would you like to purchase live tuitions in addition to your online course?Each live tuition runs for 45 minutes.