CC21201CC21202CC21203Monash University - Intensive Beginners Italian at Prato

6 January - 19 February 2012

Please complete one form (see pdf) in block letters and sign, for each participant. Additional copies may be requested from ASA or this form may be photocopied (both sides please). Please mail:

• Your ASA Reservation Form

• A deposit of $500.00 per person (cheques should be made payable to Australians Studying Abroad)

to: P.O. Box 8285, ARMADALE, VICTORIA, 3143

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