Booking

• • 	What language would you like to learn? Select Arabic Chinese English French German Italian Japanese Korean Portuguese Russian Spanish * Select the number of hours you would like to book: Select 1.5 to 10 hours 20 hours 30 hours 40 hours 50 hours 60 Hours 70 Hours 80 Hours * Please specify the number of hours: -Select- 1.5 Hours 2 Hours 3 Hours 4 Hours 5 Hours 6 Hours 7 Hours 8 Hours 9 Hours 10 Hours How many people will be in the class? -Select- 1 2 3 4 5 6 7 8 9 10 11 12 more than 12 Please specify the number of students: If would like to book lessons for more than 12 students please submit this form as a quote and we will be able to provide you with a competitive price based on your requirements.

• • 	Title: Please Select Mr. Mrs. Miss. Dr. * First name: * Last name: * Address1: * Address2: * City: * Postcode: * Telephone no: * Mobile no: * Date of birth: * Email: * Confirm Email: * Password: * (Password must be at least 8 characters and must include at least one upper case letter, one lower case letter, one numeric digit and one special character.) Is the address where you would like your lessons the same as the contact address? Yes    No* Lesson Address1: * Lesson Address2: * Lesson Postcode: *     Select the nearest city/town closest to where you want to take your lessons? -Select- Belfast Birmingham Bradford Brighton Bristol Cambridge Cardiff Coventry Dublin Edinburgh Glasgow Kingston Upon Hull Leeds Leicester Liverpool London Manchester Milton Keynes Newcastle Upon Tyne Nottingham Oxford Reading Sheffield

• • 	Do you have a preference on the gender of the teacher who is going to teach you? Yes No * If so, please specify your preferred option: Male   Female * What is your native language? * Do you have any special requirements? Yes    No* If so please let us know what they are *

• • 	Preferred Date: * Start Time: HH 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 * MM 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 * Alternative Date: Start Time: HH 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 MM 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 Alternative Date: Start Time: HH 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 MM 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 How often would you like to take your lessons? -Select- Daily Weekly Fortnightly Other * Select the duration of your first lesson : -Select- 1.5 2.0 2.5 3.0 3.5 4.0 4.5 5.0 5.5 6.0 6.5 7.0 7.5 8.0 8.5 9.0 9.5 10.0 *

• • 	Language: -- Course Fee: £0.00 Number of hours: Course Material: £0.00 Surcharge per person: £0.00 Transport Costs based on location: £0.00 Total: £0.00