:::PERSONAL ENGLISH TUTORS::: Booking Form

Other payments
If you need to send us a separate payment for any reason, please use this payments form.

STUDENT DETAILS * indicates required fields
Title
First Name		*
Last name		*
Street
Town/City
State/Province
Zip/Postal code
Country		*
Nationality		*
Occupation
Telephone		*
Mobile
Email		*
Age		*

PASSPORT DETAILS

Passport no.
Place of Issue
Date of Issue
Date of Expiry

SPECIAL REQUIREMENTS

Allergies and any medical or dietary needs

Any other special requirements

Do you smoke?

Is a smoking household acceptable?

Do you require a private bathroom ?
(£100 / week)

Interests

COURSE DETAILS

Type of course

English level

No. of weeks

Hours per week

Specialised courses:

What is your area of special interest?


Cost of Course	£

TRAVEL DETAILS: Use Heathrow if possible

Arrive (Sunday if possible)			*
Depart (Sunday if possible)			*
Meet me at the airport on arrival (Click here for prices)
Please return me on departure

Arrival details if known

Flight number
Arrival time

Departure details if known

Flight number
Departure time

Cost of Transfers

*Please read the Terms and Conditions and

the Student Guide before sending this form.

I accept the Terms and Conditions

PAYMENT

Course Cost

Transfer Cost

Private Bathroom

Registration Fee

TOTAL COST

I wish to pay by:
I wish to pay:

If you have chosen to pay by credit card, you will be transferred to a secure server to enter payment details.

You can send this enrolment form online by pressing the "Send booking" button after completing the form, or you can print the form and fax it to: +44 8706 221 868 or post it to: PET, 19 Sandford Park, Charlbury OX7 3TH, UK.

Bank details for bank transfers

Santander Bank, PO Box 10102, London E1 8TN
SWIFT Code: ABBY GB2L
IBAN: GB86 ABBY 0901 2782 3411 14

Please note that Enrolment can only be considered valid after we have received your deposit or the full course payment.

©PET2011 info@p-e-t.co.uk

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