After-school pick up Your quote for an after-school pick up After-school pick up Gender*Mr.Ms.Mss.Name First Name Last Name Address for billing Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands ℹ In case the address for service delivery is different, we shall welcome if you can share it in "Comments" bellow. Email(Required) PhoneAre you ( will you be) tax payer in France? Yes No ℹ Usefull in case of eligibility to the benefits (see here)Are you ( will you be) afiliated to the French social security system? Yes No ℹ Usefull in case of eligibility to the benefits (see here)Number of children1234Single mother Single mother Name of the first child Birth date first child MM slash DD slash YYYY Name of the second child Birth date second child MM slash DD slash YYYY Name of the third child Birth date third child MM slash DD slash YYYY Name of the fourth child Birth date fourth child MM slash DD slash YYYY Monday Monday Start time (Monday): Hours : Minutes AM PM AM/PM End time (Monday): Hours : Minutes AM PM AM/PM Tuesday Tuesday Start time (Tuesday): Hours : Minutes AM PM AM/PM End time (Tuesday): Hours : Minutes AM PM AM/PM Wednesday Wednesday Start time (Wednesday): Hours : Minutes AM PM AM/PM End time (Wednesday): Hours : Minutes AM PM AM/PM Thursday Thursday Start time (Thursday): Hours : Minutes AM PM AM/PM End time (Thursday): Hours : Minutes AM PM AM/PM Friday Friday Start time (Friday): Hours : Minutes AM PM AM/PM End time (Friday): Hours : Minutes AM PM AM/PM Wish for the start date* MM slash DD slash YYYY Income range:1 child with less than 20 755€1 child from 20 755 to 46 123€1 child over 46 123€2 children with less than 23 701€2 children from 23 351€ to 52 670€2 children over 52 670€3 children with less than 26 647€3 children from 26 647€ to 59 217€3 children over 59 217€4 children with less than 29 593€4 children from 29 593€ to 65 764€4 children over 65 764€ℹ useful for families eligible for social and tax benefitsHow did you know about Family Space?WebPressAcquaintanceAnglo-InfoOther...Please tell us more about it CommentsPlease let us know what's on your mind. Have a question for us? Ask away.CAPTCHAGDPR Agreement I consent to having this website store my submitted information so they can respond to my inquiry.EmailThis field is for validation purposes and should be left unchanged. Δ
