Booking Details - School of English | Study English in England

Course Details

Course Selected

Number of Hours

Accommodation

Cost

£

Number of Weeks

Total Cost

£

(including £100 registration fee)

Are you *

Male

Female

First Name *

Family Name *

Email Address *

Daytime Telephone *

(please include the country dialling code e.g. +44 1723 501 991)

Evening Telephone *

(please include the country dialling code e.g. +44 1723 501 991)

Mobile

(please include the country dialling code e.g. +44 1723 501 991)

Do we have permission to contact you on WhatsApp?

Yes

No

Date of Birth

Nationality * Nationality

Passport Number

Occupation

Address Details

Address *

Town/City *

County/Region

Postcode *

Country

Is invoice address different?

No

Yes

Invoice Address

Invoice Address *

Town/City *

County/Region

Postcode *

Country *

Course Details

Arrival Date

(usually Sunday)

Departure Date

If you have chosen NOT to arrive on a Sunday and depart on a Saturday, please give details:

Number of Weeks

Chosen Course

What subject(s) do you teach?

What age are your students?

Other Information:

Approximate level of English

Accommodation

Type of Accommodation

Do you smoke

Yes

No

Do you wish to stay with a non-smoking family

Yes

No

Do you suffer from any allergy or medical condition?

Yes

No

Please enter details

Other Information

How did you hear of Anglolang?

Have you been to Anglolang before?

Yes

No

Other Comments

Cost

Total Cost

£

(inc. £100 registration fee)

Compliance

Please Confirm *

Tick to confirm you agree to Anglolang's Terms and Conditions and Privacy Policy.

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Course Booking Form

Course Details

Address Details

Invoice Address

Course Details

Accommodation

Other Information

Cost

Compliance

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