Enrolment form

Please complete the enrolment form below and send the deposit of £150 per term. This will reserve a place for you. (If there is no place available, we will return the deposit to you.) . Please read the booking conditions.

We will then send you a Certificate of Enrolment and an Invoice. We must receive the balance of the fees at least 14 days before the start of your course otherwise we cannot guarantee a place for you.

Alternatively, if you just require further information, please complete the enquiry form.

Title
First Name
 
Last Name:
Work Tel::
 
Address:
Home Tel:
Fax No:
Country:
Date of Birth:
 
Email:
Sex:
Male Female
What date do you want to start the course?
What date do you want to finish the course?
What is your nationality?
What is your occupation?
What is your level of English?

Elementary
Intermediate
Upper Intermediate
Advanced

Would you like accommodation
with a host family?
Yes No
Do you have any special requirements with regard to
your host family, or any special dietary needs?
We will need further information from you.

How would you like us to contact you?
Fax       Email     Telephone

Please note that enrolment is only valid once we receive the deposit of £150.
For details of payment, please see our Fees section.
   

For further information contact:- Anne Rostron (BA Hons, Dip TEFL)

Address: Beaufort House, 49 Hyde Street, Winchester, S023 7DX

Telephone/Fax: +44 (0) 1962 851844

Email:

Telephone/Fax: +44 (0) 1962 851844 • Email: info@winchester-english.co.uk