Avalon School of English - Application Form

[enrolment form]

enrolment form...

personal details...

Title	Name	Surname	Date of Birth
Nationality
First Language Occupation Home Address Telephone E-mail

your course...

Please tick the course(s) you have chosen. (You may tick more than one box.)
Speaking (Avalon Direct English) TOEFL IELTS Cambridge First Certificate Cambridge Advanced Cambridge Proficiency Summer Programme
Number of Weeks	Start Date	Finish Date
Please indicate your level of English
Beginner Elementary Intermediate Upper Intermediate Advanced

accommodation...

Please indicate whether you require accommodation. (If so, you must also complete the Accommodation Request form.)

I require accommodation
I do not require accommodation

payment...

Please indicate your method of payment.

Bank Transfer/UK cheque
Credit Card

Please indicate what you payment includes.

My course
Accommodation
Airport Transfer

I understand and accept the Terms and Conditions of enrolment and confirm the above details are correct.
Please note:
your application will not be accepted unless you type your name below to confirm that you have read and accept the Terms and Conditions.

Name Date

submit your form...

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