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Info
If you wish to ask us something before enrolling, please
contact us
.
This is not yet a secure site, if you prefer please print off the enrolment form and either fax it or post it back to us. Thank you in advance.
Enrolment Form
Please note that all items marked
*
are required
Contact Details
Mr
Mrs
Miss
Ms
(Surname) Family Name
*
First Name(s)
*
Address
*
Town/City
*
Post/Zip Code
Country
*
Contact Tel. No
*
Fax No
Email
Nationality
*
Mother Tongue*
Date of Birth
*
Passport No
Your level of English now*
Course Details
Course Name*
Starting Date*
Options Programme
(please state options required)
Finishing Date*
Accomodation
Prefered type of accommodation
Homestay
Student House
Do you mind children?
Yes, I like children
No, I do not like children
Do you smoke?
Yes
No
Do you mind pets (animals)?
Yes, I object
No, I have no objections to pets
Your special dietary needs
Special Dietary Needs
Arrival Information
Special Requests
Do you require transfer to your accommodation?
Yes
No
Arrival Date*
Arrival Point (airport station etc.)*
Arrival Time*
Flight/Bus No.
Payment Details
A deposit of £250 is required on enrolment. We shall invoice you for the balance, which should be paid, in full, at least 30 days before the start of the course. If you enrol less than 30 days before the course starts, full payment is due immediately. Please note, we will process your enrolment when the deposit or full fees have been received.
Payment can be made by bank-to-bank transfer to:
Lloyds Bank Limited
PO Box 22
38 Blue Boar Row
Salisbury SP1 1DB
England
Code 30-97-41
Account No.2823988
Or if ,you prefer, payment can be made by credit or charge card, as follows
Please, debit the £250 pound deposit
Please debit the full course fee
Using the following card account:
Visa
American Express
Eurocard
Diners Club
MasterCard
JCB
Card Number
Expiry Date
Name of cardholder as shown on card
Submit this form now: