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Información de contacto / Contact information
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Nombre / Name
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Direccion / Address
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Numero de contacto/ Contact number
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Academic level / Nivel académico
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Idioma  de interés/ language of interest 

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Porqué te interesa el idioma? / Why are you interested in the language?


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Phone number/ Número de teléfono


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Schedule/ Horario

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Nivel actual del idioma /  current language level
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Tipo de curso solicitado /  Type of course requested
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Preferencia de horario / Schedule preference
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Como te enteraste de nosotros? / how did you find out about us?
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