Online Booking – English courses for Adults

Personal details

First Name*

Last Name*

Email*

Phone*

Address*

Street Address Address Line 2 City ZIP / Postal Code Country

Date of Birth*

Occupation*

Passport Nationality*

Passport Number*

Passport Expiry Date*

Level of English

Gender

How did you hear about us?

Accommodation

Do you have any special diet or allergies?

Any Additional Requirements

Transfers

Date of Arrival

Time of Arrival

Arrival airport

Flight No.

Date of Departure

Time of Departure

Departure airport

Flight No.

Do you need Express Mail?

Express mail

Payment Details

Credit Card Fee 2.2%

Price: £ 0.00

Credit Card Fee 4%

Price: £ 0.00

Please choose from the options below:*

Pay the full amount

Pay the £250 deposit

Price:

Method of Payment

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International Bank Transfer

Brighton Language College
Barclays Bank, 126 Station Road, Edgware, Middx, HA8 7RY, UK
Brighton Language College Ltd, Sort Code: 20-29-37 - Account Number: 23340953 - SWIFT: BARCGB22 - IBAN: GB53BARC20293723340953;

Cardholder Name

Card Number

Expiry Date

Security Code

Terms & conditions

Agreement*

I understand and agree the booking conditions

Total

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