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Enrolment Enquiry Form


     My Course

Choose your school
Type of course you wish to study
Time of day preferred
Date* you wish to start your course D: M: Y:    Calendar
* Start date has to be on Monday
Number of weeks
Any special comments?

     Personal Data

Title
First name
Surname
Date of Birth D: M: Y:
Nationality
Email address
English Level
How did you learn about us?
Address


City
Country
Telephone
Fax

     Accommodation

Do you need accommodation? Yes    No
Type of accommodation
Meals
Arrival date D: M: Y:
Number of weeks*    * Min. 2 weeks
Special accommodation arrangements?
(allergies, pets, special diets?)
Airport transfer service required?
No       Yes (one way)
Yes (return)
Type verification code: verification image, type it in the box

Thank you for completing this form.
If you do not receive any information from the school within the next 3 working days, please let us know immidiately by e-mail at enquiries@electricenglish.co.uk

 


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