Registration
Home | About Us | Add-to-Favourites | Tell a Friend | Contact Us

Please fill out the following form and press the button marked "Register Now!"
You will then be taken to our payment page, where you will be asked to pay a total of   , which covers full membership for 12 months*. After this period, your membership will expire automatically, and you will have to re-register to continue using our services.

* Includes our Special Introductory Offer in which you pay for 6 months membership
  and receive 6 months extra FREE of Charge.



Name


First Name:

Last Name:



Address


E-mail Address:

Country



Proficiency


English
German
French
Italian
Spanish



Preferences


English
German
French
Italian
Spanish



Motivation


Why do you want to learn other languages?

Other Reason (not listed in box):



Other Details


What is your Profession? (Optional):



User Name & Password


Choose a User Name (4-16 letters and/or numbers):

Choose a Password (4- 8 letters and/or numbers):

Please type your password again!



Note
  • This information will be treated confidentially and will under no circumstances be shared with any other companies.
  • Recommended system: PC running Windows 98 or higher, Explorer 5.0 or higher.
  • ONLINE Payment is available to all of our customers. OFFLINE Payment includes Bank Transfer and Cheque payments for customers with bank accounts in the UK, Germany and France. For US customers and customers with bank accounts in other countries, OFFLINE Payment is restricted to Offline Credit Card payments, in which you give us details by fax, email, or over the telephone.


    





EUROCOSM UK, Gigg Mill, Old Bristol Rd, Nailsworth, Glos, GL6 0JP, UK, Tel. 0800 01 88844
Garling Consulting Ltd, UK Company Reg: 04264375, VAT No: 804941630
Copyright © eurocosm.com 1999-2008 - All rights reserved


Deutsch - English - Español - Français - Italiano