NetLearn Languages - The On-Line Language School

NetLearn Languages - Teaching the World









NetLearn Languages uses Skype!


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Enrolment Form

To start your course, please fill in the form below. We will then contact you by e-mail to arrange your lessons.

Personal Details

Family Name:
First Name(s):
Title (Mr, Mrs etc):
Name of company or organisation you represent (if applicable)
Nationality:
Date of Birth:
E-mail address:
Postal address:
Telephone number (home):
Telephone number (work):
Fax number:
 

 

 

Course Details

Language you would like to study

 

If you chose "Other", please state which language

 

Type of lesson

One-to-One
Closed Group

 

If you chose One-to-One please indicate a program:

Program Q2: 2 hours a week for 12 weeks (24 hours)
Program Q3: 3 hours a week for 12 weeks (36 hours)
Program H2: 2 hours a week for 24 weeks (48 hours)
Program H3: 3 hours a week for 24 weeks (72 hours)
Flexible, per-hour basis

Other (e.g. special promotions - only with valid reference number)

 

If you chose "Closed Group" please indicate the number of students in the group:

 

Specific language area if applicable (e.g. Business English, Spanish for Medical Purposes etc.)

 

Please choose your most important needs from the following list:














Please enter any other language needs/situations in which you will need to use the language:

 

Please enter your preferred day and time of study (in UK time, please). The current time in the UK is
 

 

 
When would you like to start your course? (Date - dd/ mm/ yy)
 

 

 
How will you want to pay? (This is not final; you can still change your mind later)

Invoice to my company

International Money Transfer

Credit card (via secure server)

Cheque drawn on a UK bank account

 

 

 
Reference number (only for special promotions)
 

 

 
Where did you hear about us?