<% ' change to address of your own SMTP server strHost = "patagoniaspanish.com" If Request("Send") <> "" Then Set Mail = Server.CreateObject("Persits.MailSender") ' enter valid SMTP host Mail.Host = strHost Mail.From = Request("E-Mail") ' From address Mail.FromName = Request("FromName") ' optional Mail.AddAddress "info@patagoniaspanish.com" ' message subject Mail.Subject = Request("Subject") ' message body Mail.Body = Request("Body2") & chr(10) & chr(10) & "Surname: " & Request ("FromName") & chr(10) & "First Name: " & Request ("Firstname") & chr(10) & "Nationality: " & Request ("Nationality") & chr(10) & "Sex: " & Request ("Sex") & chr(10) & "Date of Birth: " & Request ("Birth") & chr(10) & "Address: " & Request ("Address") & chr(10) & "Zip Code: " & Request ("Zipcode") & chr(10) & "City: " & Request ("City") & chr(10) & "Country: " & Request ("Country") & chr(10) & "Phone: " & Request ("Phone") & chr(10) & "FAX: " & Request ("Fax") & chr(10) & "E-Mail: " & Request ("E-Mail") & chr(10) & "Confirmation of E-Mail: " & Request ("E-Mail2") & chr(10) & "Emergency contact (name and phone): " & Request ("emergency") & chr(10) & "Profession: " & Request ("Profession") & chr(10) & "Spanish level: " & Request ("Spanish") & chr(10) & "Company/University: " & Request ("Company") & chr(10) & "Years you have been studying Spanish: " & Request ("Spanish2") & chr(10) & "Expectations, needs, interest for your Spanish program: " & Request ("expectations") & chr(10) & "Mother tongue: " & Request ("mothertongue") & chr(10) & chr(10) & "I WISH TO BOOK (WEEKS): " & chr(10) & Request ("Book") & " weeks in Patagonia" & chr(10) & Request ("Book2") & " weeks in Buenos Aires" & chr(10) & Request ("Book3") & " weeks in Mendoza" & chr(10) & Request ("Book4") & " weeks in Ushuaia" & chr(10) & Request ("Book5") & " weeks in Chile" & chr(10) & chr(10) & "Program: " & Request ("Program") & chr(10) & chr(10) & "ONLY for BUENOS AIRES: " & chr(10) & "Start date of classes: " & Request ("scd") & "-" & Request ("scm") & "-" & Request ("scy") & chr(10) & "Arrival Date: " & Request ("sad") & "-" & Request ("sam") & "-" & Request ("say") & chr(10) & "Accommodation: " & Request ("Accomm") & chr(10) & "Airport transfer(yes/no): " & Request ("Airport2") & " --" & "Airport details: " & Request ("Airport") & chr(10) & "Tango: " & Request ("Tango") & chr(10) & chr(10) & "ONLY for PATAGONIA: " & chr(10) & "Start date of classes: " & Request ("scd2") & "-" & Request ("scm2") & "-" & Request ("scy2") & chr(10) & "Arrival Date: " & Request ("sad2") & "-" & Request ("sam2") & "-" & Request ("say2") & chr(10) & "Accommodation: " & Request ("Accomm2") & chr(10) & "Airport transfer(yes/no): " & Request ("Airport22") & " --" & "Airport details: " & Request ("Airport9") & chr(10) & chr(10) & "ONLY for MENDOZA: " & chr(10) & "Start date of classes: " & Request ("scd3") & "-" & Request ("scm3") & "-" & Request ("scy3") & chr(10) & "Arrival Date: " & Request ("sad3") & "-" & Request ("sam3") & "-" & Request ("say3") & chr(10) & "Departure Date: " & Request ("dia") & "-" & Request ("mes") & "-" & Request ("ano") & chr(10) & "Accommodation: " & Request ("Accomm3") & chr(10) & "Do you smoke: " & Request ("smo") & chr(10) & "Le molesta si fuman en la casa?: " & Request ("smo2") & chr(10) & "Le molesta una familia con chicos: " & Request ("chi") & chr(10) & "Vegetarian food?: " & Request ("veg") & chr(10) & "Airport transfer(yes/no): " & Request ("Airport33") & " --" & "Airport details: " & Request ("Airport3") & chr(10) & chr(10) & "ONLY for USHUAIA: " & chr(10) & "Start date of classes: " & Request ("scd4") & "-" & Request ("scm4") & "-" & Request ("scy4") & chr(10) & "Arrival Date: " & Request ("sad4") & "-" & Request ("sam4") & "-" & Request ("say4") & chr(10) & "Accommodation: " & Request ("Accomm4") & chr(10) & "Airport transfer(yes/no): " & Request ("Airport44") & " --" & "Airport details: " & Request ("Airport4") & chr(10) & chr(10) & "ONLY for CHILE: " & chr(10) & "Start date of classes: " & Request ("scd5") & "-" & Request ("scm5") & "-" & Request ("scy5") & chr(10) & "Arrival Date: " & Request ("sad5") & "-" & Request ("sam5") & "-" & Request ("say5") & chr(10) & "Accommodation: " & Request ("Accomm5") & chr(10) & "Airport transfer(yes/no): " & Request ("Airport55") & " --" & "Airport details: " & Request ("Airport5") & chr(10) & chr(10) & "Health: " & Request ("Health") & chr(10) & "Comments: " & Request ("co") & chr(10) & "How did you hear about us: " & Request ("How") & chr(10) & chr(10) & "VOLUNTEER WORK: " & chr(10) & "Start date of volunteer work: " & Request ("chotdia") & "-" & Request ("chotmes") & "-" & Request ("chotano") & chr(10) & "Number of weeks of volunteer work: " & Request ("chotww") & chr(10) & "Describe what kind of work you are interested in doing: " & Request ("chotdd") strErr = "" bSuccess = False On Error Resume Next ' catch errors Mail.Send ' send message End If %> Study Spanish in Argentina. AIE Argentina: Buenos Aires, Patagonia and Cordoba.

Learn Spanish in Buenos Aires
Learn Spanish in Buenos Aires
Learn Spanish in Buenos Aires
Learn Spanish in Buenos Aires
Learn Spanish in Buenos Aires
Learn Spanish in Buenos Aires
Learn Spanish in Buenos Aires
Learn Spanish in Buenos Aires
Learn Spanish in Buenos Aires
Learn Spanish in Buenos Aires
Learn Spanish in Buenos Aires
Learn Spanish in Buenos Aires
Learn Spanish in Buenos Aires
Learn Spanish in Buenos Aires
Learn Spanish in Buenos Aires
Learn Spanish in Buenos Aires
Learn Spanish in Buenos Aires
Learn Spanish in Buenos Aires
Learn Spanish in Buenos Aires
Learn Spanish in Buenos Aires
Learn Spanish in Buenos Aires
Learn Spanish in Buenos Aires
Learn Spanish in Buenos Aires
Learn Spanish in Buenos Aires
Learn Spanish in Buenos Aires
Learn Spanish in Buenos Aires
Learn Spanish in Buenos Aires
Learn Spanish in Buenos Aires
Learn Spanish in Buenos Aires
Learn Spanish in Buenos Aires
Learn Spanish in Buenos Aires
Learn Spanish in Buenos Aires
Learn Spanish in Buenos Aires
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Learn Spanish in Buenos Aires Argentina
Learn Spanish in Buenos Aires
Learn Spanish in Buenos Aires
 
AIE Volunteers Program - APPLICATION FORM
APPLICATION FORM
ENROLLMENT PROCESS:
It is very easy. Students must complete our online application form (see below). With this information we will book all your requested services, and you will receive an e-mail with all your bookings, including payment procedures. You will receive this e-mail within one working day. We recommend to book as early as possible to assure you availability.
APPLICATION FORM
Surname
First name
Nationality
Sex
Date of Birth (mm/dd/year)
Address
Zip Code
City
Country
Phone Number
FAX
E-Mail
Please confirm your E-Mail
i
Emergency Contact in your country (Name & Phone):
Profession/occupation ---- Company / University / School
Your Spanish Level
Years you have been studying Spanish
Your mother tongue
Expectations, interest and needs for your Spanish program:

¿How did you hear about AIE?

VOLUNTEER WORK

I wish to start the volunteer work on: Day Month Year

Length of your volunteer work (from 1 to 52 weeks): weeks.

Describe what kind of work you are interested in doing:
SPANISH COURSE
I Wish to Book (you can combine our locations):
weeks in Buenos Aires.
weeks in Patagonia (Bariloche town).
weeks in Mendoza.
weeks in Ushuaia.
weeks in Chile.
Select your Program:

GROUP COURSE (20 group classes per week):

PRIVATE COURSE (Private Classes): 2 classes/day 3 classes/day 4 classes/day 6 classes/day 8 classes/day

COMBINED COURSE (20 group plus 10 private classes per week)

Only for BUENOS AIRES (complete only if you have selected Buenos Aires)

I wish to start classes in Buenos Aires: Day Month Year

Arrival Date in Buenos Aires: Day Month Year

Accommodation:
Homestay with breakfast and dinner
Homestay with breakfast
 Homestay without meals
Private Apartment
Not required (I have my own accommodation)
Airport pick-up (we can arrange this service and you can pay directly to the driver, without extra cost):
 No vv Yes vvv Flight details:
Tango Program (5 classes per week):
 No vv Yes
Only for PATAGONIA, BARILOCHE TOWN (complete only if you have selected Patagonia)

I wish to start classes in Patagonia (Bariloche): Day Month Year

Arrival Date in Patagonia (Bariloche): Day Month Year

Accommodation at:
Homestay with breakfast and dinner
Private apartment
 Not required (I have my own accommodation)

Airport pick-up (without additional cost):
 No vv Yes vvv Flight details:
Only for MENDOZA (complete only if you have selected Mendoza)

I wish to start classes in Mendoza: Day Month Year

Arrival Date in Mendoza: Day Month Year

Departure Date from Mendoza: Day Month Year

Accommodation at:
Homestay with breakfast and dinner, + plus lunch at weekends
Homestay without meals
Not required (I have my own accommodation)

Vegetarian food: No Yes ----- Do you prefer only a family without children? No Yes -
Do you smoke: No Yes ----- Do you prefer only a non-smoking family? No Yes -

Airport pick-up:
 No vv Yes
Flight details (flight number, airline, exact arrival date and time. The same if you arrive by bus):
Only for USHUAIA (complete only if you have selected Ushuaia)

I wish to start classes in Ushuaia: Day Month Year

Arrival Date in Ushuaia: Day Month Year

Accommodation:
Bed&Breakfast (private room)
Hostel (shared room)
 Not required (I have my own accommodation)

Airport pick-up
 No vv Yes vvv Flight details:
Only for CHILE (complete only if you have selected Chile)

I wish to start classes in Chile: Day Month Year

Arrival Date in Chile: Day Month Year

Accommodation:
Homestay with breakfast
 Not required (I have my own accommodation)

Airport pick-up
No vv Yes vvv Flight details:
ADDITIONAL INFORMATION
Health (allergies, medical treatment, etc)
Comments:

 

  

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A.I.E. - ARGENTINA IDIOMA ESPAÑOL - Central Address: Otto Meiling 357- Zip Code (8400) - Bariloche - Río Negro - Argentina
 
Tel./Fax: ++54 2944 525178 - E-Mail: info@patagoniaspanish.com
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