Book a Course

 

Please read the Conditions of Enrolment before completing this form. 


> Download enrolment form (if you wish to send it by post or fax)

 

Online Booking Form

Contact Details

* indicates required information

Family Name*

First Name*

Street*

City*

Postcode / Zip Code*

State / Region*

Country*

Telephone*

Fax

Email*

 

 

Personal Information

* indicates required information

Date of Birth*

D M Y

Sex*

Male Female

Nationality*

1st Language (Mother Tongue)*

Level of English*

How long have you been studying English?*

Occupation

How did you hear about the Lewis School of English?*

 

 

Course Information

* indicates required information

 

Course Chosen*

Number of Weeks*

Start Date*

If you want to book another course after the one above, fill in the section below:

 

 Additional Course Chosen

Number of Weeks

Start Date

 

 

Accommodation

* indicates required information

F/B = Full Board; H/B = Half Board; S/C = Self-Catering

     

Type of Accommodation*

Arrival date

Leaving date

 

Residential Accommodation

This is available from 29 June to 23 August only.

Homestay - Please Note

Full board includes packed lunch Monday to Friday. A premium of £10 per week applies from 22/6/08 to 24/8/08. There is a discount of £10 per week for shared accommodation.

Homestay Only

Please answer the questions below. They will help us to find a suitable host family for you.

   
Smoking or non-smoking?

Homestay with pets?

Homestay with children?

     

Shared Room?

Yes No

If you want a shared room, what is then name of the person sharing with you.

     
Is there any other information that we should know when finding you a family,

for example, allergies, food, special diet or medication?

 

 

Travel & Insurance

* indicates required information

 

Do you want us to arrange a taxi transfer from the airport to your accommodation address?

Do you wish the school to provide insurance cover?*

Yes No

 

Payment

Please choose your method of payment.  * indicates required information

  • Bank transfer:   The school's bank details are as follows.

    Pay:  Lewis Schools Ltd.

    Bank's address:  National Westminster Bank, 12 High Street, Southampton.  Account number: 58539204 

    Bank Sort code: 56-00-68 

    SWIFT code: NWBKGB2L

    IBAN code: GB06 NWBK 5600 6858 5392 04

     

    You must pay all bank charges. Please check with your bank when you make the transfer. You will be asked to settle all unpaid bank charges on arrival.

  • Cheques:  Payable to 'Lewis Schools Ltd.'

  • Credit Card:  There is a 2% surcharge on all payments by credit card.  The Lewis School does not have a secure Internet connection.  Please print our Credit / Debit Card Payment form and send it to us by POST or FAX.

  • Debit card:  There no surcharge on payments by debit card.  The Lewis School does not have a secure Internet connection.  Please print our Credit / Debit Card Payment form and send it to us by POST or FAX

    •

Pay enrolment fee (£60)*

(£100 deposit for Academic Year Programme)

Please note that the enrolment fee is an administrative charge. It is not part of the course fee and is non-returnable.

 

Pay balance*

 

Before you submit*

I have read and agree to the terms and conditions of enrolment.

As soon as we receive your booking form we will confirm your place and send you a letter of acceptance and an invoice.

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