Course Enquiry Form

Personal Information
Family Name:
First Name:
	Male Female
Passport Number:
Address for correspondence:
Telephone:
Mobile Phone:
Fax:
E-Mail:
Nationality
First Language
Date of Birth:
Job:
Where did you find out about us?:
Level of Ability (please estimate your ability)
Please select one:
How long have you been studying English?
Have you passed any examinations in English?
Course Details
General English Group Courses			No Of Weeks
Standard (15 hours per week)
Intensive (25 hours per week)
Private Classes			No Of Weeks
General English (25 hours per week)
Executive English (25 hours per week)
Closed Groups			No Of Weeks
General English (25 hours per week)
Executive English (25 hours per week)
How Many Students
Exam Courses
FCE 4 weeks
FCE 8 weeks
IELTS 8 weeks
Teacher's refresher course (no of weeks)

Accommodation & Travel
Bed & Breakfast Hotel	Single	Transfer from		No Transfer required
	Twin	Heathrow Airport
	Double	Gatwick Airport
Albion Hotel	Single	Stanstead Airport
	Twin	Ashford International
	Double	Dover Port
Stay with host family
Are you a smoker
Special requirements? (vegetarian, religious, medical)
Do you mind staying in a house with pets?

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