Online Enquiry Form

Why not book your course at the Southbourne School of English now? Simply fill in the form below and press submit.

Once we have received the form we shall contact you to confirm your place. If you should have any problems with the form, or have any other questions, please feel free to contact us.

First Name*

Surname*

Sex:

Male Female

Address 1:

Address 2:

Address 3:

Town/city:

Region:

Postcode/ZIP:

Nationality:

DOB:

Email Address*

Confirm Email Address*

Telephone Mobile

Arrival Date:*

Section 2

Course: *

15 hours 21 hours Exam Course Combined Other

Number of weeks: Start: End:

What is your level of English language?

Beginner Elementary Intermediate Advanced Don't know

Please note, that we also run a range of examination courses. Please tick the box if you would like to find out more.

Section 3

Do you require any accommodation?*

Yes No

Accomodation Dates:

Start End

Board Basis:	Half Board	Full Board
Do you Smoke?	Yes	No
Pet Free home?	Yes	No
Do you have any allergies?	Yes	No
Please give more details:
Do you have any dietary requirements?	Yes	No
Please give more details:

We will do our best to comply with your accommodation requests but cannot make any guarantees.

Section 4

Do you require an airport transfer?

On arrival:	Yes	No
On departure:	Yes	No

Arrival details

Flight Number:

Date/Time: Hours: Mins:

Airport:

Airport Other:

Terminal:

Departure details

Flight Number:

Date: Hours: Mins:

Airport:

Airport Other:

Terminal:

Please note, your enrolment will not be confirmed until we have received a payment of £220 (£70 enrolment fee plus £150 deposit which will be deducted from the final invoice) by either; bank transfer or Credit Card.

All Bank Transfers should be made to: Account Name: Southbourne School of English. Account Number: 60769665. Sort Code: 40-46-19. IBAN: GB02MIDL40461960769665. BIC: MIDLGB2121D. Please note that you should instruct your bank to add all UK bank charges to the amount you transfer - this is usually £12 but may vary.

If you would prefer to pay by credit card please contact us via telephone +44 (0) 1202 422300 or email onlinebookings@southbourneschool.co.uk