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  *Full Name:
  *Address:
  *Email address:
  *Telephone number:
  *Date of Birth:
  *Nationality:
  *Course(s) to study:  English Conversation and Pronunciation
 Semi-Intensive English 15 hours
 Intensive English 20 hours
 Part time English
 Elementary Spanish or French
 Business English
 Private 20 hours
 Private 30 hours
  When?:  Mornings
 Afternoons
 Evenings
 Weekend
  *When do you want to start?:  September 2009
 October 2010
 January 2010
 April 2010
 July 2010
  Level of English:
  Special Requirements:
  Comments:
  *Method of payment:
  *How did you find us?:
  Do you want us to arrange your accommodation?:  Yes, Please
 No, Thank you
  Do you want an Airport Collection:  Yes, Please
 No, Thank you
  *I have read and I accept the Terms & Conditions:  Terms & Conditions at: www.llcentre.com/disclaimer_12.html

                                                Please select the submit button to register with us
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