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Personal Info:
Full Name:*
Mailing Address:*
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Zip Code:*
Date of Birth:*		Month: Day: Year: January February March April May June July August September October November December 12345678910111213141516171819202122232425262728293031 20092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909
Profession:*
Gender:*		Male    Female
Contact Info:
E-Mail:*
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Phone (work):
Phone (home):*
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Study Schedule
Schedule	Semi Intensive (20 Hrs/wk) Intensive Spanish (25 Hrs/wk) Gold Spanish (30 Hrs/wk) Platinum Spanish (40 Hrs/wk) Without class
Accomodation	Shared Room Shared Room with A/c Private Room Private Room with A/c Private P-Room Private P-Room with A/c Without Accommodation
Weeks	1 week 2 weeks 3 weeks 4 weeks 5 weeks 6 weeks 7 weeks 8 weeks 9 weeks 10 weeks 11 weeks 12 weeks 13 weeks 14 weeks 15 weeks 16 weeks 17 weeks 18 weeks 19 weeks 20 weeks
Arrival Info:
Arrival Date		Month: Day: Year: January February March April May June July August September October November December 12345678910111213141516171819202122232425262728293031 200920102011201220132014
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Emergency Info:
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Foreign Languages:
Spanish Proficiency:		Not Taking Spanish Beginner (no previous study) Beginner (some previous study) Intermediate Advanced
Course Start Date:*		Month: Day: Year: January February March April May June July August September October November December 12345678910111213141516171819202122232425262728293031 200920102011201220132014
Additional Requests
Roommate Request:
Room Preference:*		Single Shared
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Important Note
A $200 (US) non-refundable deposit is required to reserve your space for any program. An invoice will be sent to you shortly via PayPal.

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Student Testimonials

A wonderful place to learn. Wel-run, supportive and practical instruction.

Sally Willson
Alaska
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ECORA Language Institute & Cultural Center is an including Spanish school in Merida, Yucatan, Mexico. We believe in the richness of diversity. We reject all kinds of discrimination on the basis of race, age, disability, political or religious believes, veteran status, sexual orientation, color or national origin. Everybody is welcome as a student or staff.