Your Application
Please complete this form to book a place on a course.
When we receive the booking we will email you the confirmation.
We can only reserve your space after payment has been received.
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First name:
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Family name:
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Male/Female:
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Date of Birth:
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Telephone Number:
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E-mail Address:
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Address:
Post Code:
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Country:
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Place of Birth:
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Nationality:
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First Language:
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Start Date:
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30th April 2012
23rd April 2012
16th April 2012
9th April 2012
2nd April 2012
26th March 2012
19th March 2012
12th March 2012
5th March 2012
27th February 2012
20th February 2012
13th February 2012
6th February 2012
30th January 2012
23rd January 2012
16th January 2012
9th January 2012
3rd January 2012
19th December 2011
12th December 2011
5th December 2011
28th November 2011
21st November 2011
14th November 2011
7th November 2011
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Course:
FastTrack English 30 hours per week
Intensive English 20 hours
Standard English 15 hours
Intensive English Conversation
IELTS
English Writing Skills
Business English
General English Evenings
FastTrack English 30 hours per week
One to One Tuition
French
Spanish
Cambridge Exam (CAE)
Cambridge Exam (FCE)
Medical English
Legal English
Standard English conversation classes
Academic Writing
Academic year course
Cambridge Exam (CPE)
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Course Length:
52 Weeks
50 Weeks
48 Weeks
42 Weeks
36 Weeks
32 Weeks
28 Weeks
24 Weeks
22 Weeks
20 Weeks
18 Weeks
14 Weeks
12 Weeks
10 Weeks
8 Weeks
6 Weeks
5 Weeks
4 Weeks
3 Weeks
2 weeks
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Preferred Course Time:
Morning
Afternoon
Evening
Saturday
Fast Track
Any other courses?:
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Would you like an airport collection arranged?:
Yes
No
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Would you like your accommodation arranged?:
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No
Accommodation type:
Please Select
Student House Share Double
Student House Share Single
Host Family - No food needed
Host Family - Breakfast only
Host Family - Breakfast and Dinner
Host Family Twin Room
Student Residence
Luxury Accommodation
Private Apartment
Hostel (very short stays)
Accommodation Standard:
Zone 2- 3
Zone 4-5
5 star
4 star
3 star
Number of days:
Arrival date DD/MM/YY:
Are you a vegetarian?:
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No
Smoking?:
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No
No Preference
Questions or comments:
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Payment Details:
Bank Transfer (Please add bank transfer fee)
Cash
Credit card (2% Surcharge for all card payments)
Debit Card
Invoice (Companies only)
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I accept the Terms and Conditions below:
I have read and I accept the Terms and Conditions
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How did you find us?:
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Course EnquiriesTelephone: +44(0)20 7287 0111
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