EFL: UK Direct Booking Form

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Please note if you require accommodation then please speak to our advisor for accommodation options.
Name*

First NameLast Name
Email*

Confirmation EmailPlease Confirm Email
Mobile Number*
Date of Birth (16+)*

MonthDayYear
Date
Which country/region do you live in?*
Are you a Canadian citizen or permanent resident?*

YesNo
Do you need an I-20 in order to study in the US?*

Yes (I-20 re-issue fee: $75)No
Submission date

DayMonthYear
Date
Hour Minutes
How did you hear about us?
Course Delivery Location*
Course*
Morning 20 - 20x45min General English Lessons

Afternoon 20 - 20x45min General English Lessons

Intensive 30 - 20x45min General English Lessons + 10x45min Elective Lessons

IELTS 20 - 20x45min IELTS Exam Preparation
Number of Weeks*
Number of weeks (for calculation)*
Course Start Date*
Course Start Date*

DayMonthYear
Date
Please select the number of weeks you would like to buy the insurance for*
By purchasing the insurance, you agree to the terms and conditions. Please also note that insurance is non-refundable once purchased
Would you like to include the IELTS Preparation Course? Select the IELTS Prep Course you would like to add:

IELTS Prep CourseIELTS Prep Course plus Official IELTS Exam
Would you like additional electives? Select the course(s) you would like to add:

Elective A - Confident Speaking (5 hours)Elective B - Business English (4 hours)Elective C - Academic Skills (9 hours)
Course material fee*

I understand and accept the additional course materials fee of £70
Students under 18 must also have a completed Parental Consent Form when applying. No course or programme shall be organised until Parental Consent has been granted. Email admissions@oxfordinternational.com for more information.
Please choose a payment option*

I want to pay the full amountI want to pay 20% deposit now
Base rate (for calculation)*
Gross total 1 (used for calculation)*
Gross total 2 (used for calculation)*
Promocode
Take an extra 10% off. Use code "Winter10"
Final Due (for calculation)*
Final Due*
By proceeding you consent to have read and agree to the Terms and Conditions on the tariff brochure*

I Agree
Should be Empty:

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