English courses in England - English schools England

AEP Academy English Programmes - Booking Form.

Important: Complete the form only after you have read, understood and accepted the AEP booking conditions and fees.

BOOKING FORM
	(Please complete form in full)
	PERSONAL DETAILS Surname: First Name: Male Female Address: Address: Town: Postcode: Country: Nationality: e-mail:     Tel No. (Home): Tel No. (Work): Occupation: Age: - select - 18192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899 Smoking: I smoke I do not smoke     In case of emergency contact (name, address, telephone number):     Likes, dislikes, allergies, special requests:     I need a transfer: No On arrival only On arrival and departure On departure only From/To: Heathrow Gatwick Stanstead Waterloo International Luton  Other:
	COURSE DETAILS One-to-one General English Preparation Business English / Specialised English / Exam Preparation 15 20 25  Lessons per Week    Two-to-one For this programme two students must book together for the same length of time. They should be of the same level. General English Business English / Specialised English / Exam Preparation 15 20 25  Lessons per Week    Bookings should be from Sunday afternoon/evening before your course starts to Saturday morning after the course finishes.   Booking Dates: From Sunday: Number of weeks: End Date:    - select - 20 May 201227 May 201203 June 201210 June 201217 June 201224 June 201201 July 201208 July 201215 July 201222 July 201229 July 201205 August 201212 August 201219 August 201226 August 201202 September 201209 September 201216 September 201223 September 201230 September 201207 October 201214 October 201221 October 201228 October 201204 November 201211 November 201218 November 201225 November 201202 December 201209 December 201216 December 201223 December 201230 December 201206 January 201313 January 201320 January 201327 January 201303 February 201310 February 201317 February 201324 February 201303 March 201310 March 201317 March 201324 March 201331 March 201307 April 201314 April 201321 April 201328 April 201305 May 201312 May 201319 May 201326 May 201302 June 201309 June 201316 June 201323 June 201330 June 201307 July 201314 July 201321 July 201328 July 201304 August 201311 August 201318 August 201325 August 201301 September 201308 September 201315 September 201322 September 201329 September 201306 October 201313 October 201320 October 201327 October 201303 November 201310 November 201317 November 201324 November 201301 December 201308 December 201315 December 201322 December 201329 December 201305 January 201412 January 201419 January 201426 January 201402 February 201409 February 201416 February 201423 February 201402 March 201409 March 201416 March 201423 March 201430 March 201406 April 201413 April 201420 April 201427 April 201404 May 201411 May 2014 - select - 123456789101112131415 ...   My English Level is: Elementary Lower Intermediate Mid Intermediate Upper Intermediate Advanced
	PAYMENT DETAILS Students must pay all bank charges I sent the payment by bank transfer on (date)     I will send the payment when I receive the AEP invoice
	CONFIRMATION I have read and fully understand the conditions AEP imposes concerning booking fees, cancellations and refunds. My Name: (for confirmation) How did you hear about AEP?