Enrolment Online Courses (5 weeks) Photo: Goethe-Institut/Bettina Siegwart Course Please select Blended Learning 75 (5 weeks) A2.1 January Blended Learning 75 (5 weeks) A2.2 January Blended Learning 75 (5 weeks) A2.3 January Blended Learning 75 (5 weeks) B1.1 January Blended Learning 75 (5 weeks) B1.2 January Blended Learning 75 (5 weeks) B1.3 January Blended Learning 75 (5 weeks) B1.4 January Title Ms Mrs Mr First Name Surname Date of birth Address City/Suburb Postcode & State Phone (mobile) Phone (work/home) E-Mail address Occupation/ School & Year Have you ever participated in a Goethe-Institut course in or outside of Australia? Yes No Payment Method Please select Payment via card Bank transfer Cheque or money order is already in the mail YTNA This is my 4th course. I would like to make use of the Loyalty Discount Yes No Newsletters I do not wish to receive email newsletters from the Goethe-Institut How did you hear about us? Terms & conditions I have read and accept the terms and conditions. Yes Guarantee & confirmation Enrolments can only be guaranteed after full payment has been made and you have received a confirmation email from us. Yes, I understand Confirmation of majority I confirm that I am of legal age. * required When you send us the information contained in the contact form by clicking on the button below, you declare your consent for us to use your personal data for purposes of answering your enquiry and/or contacting you. You can revoke your consent by sending an e-mail message to learngerman-melbourne@goethe.de. If you revoke your consent, your data will be erased immediately. Otherwise, your data will be erased after we have processed your enquiry or if the purpose of storing it no longer exists. Privacy Policy CancelSend
