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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)

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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