IELTS PREPARATION COURSE APPLICATION 4

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					IELTS Preparation Course
Application Form


1 PERSONAL DETAILS (complete in block capitals)             Mr          Mrs     Miss

Surname or family name

First names

Date of birth                                 Female             Male

Address



                                                 Postcode

Home telephone number

Mobile

E-mail

Nationality


                Number of
 Length of
                 hours in                Times                      Location      Price   Tick Here
  course
                  total
                                    Intensive Course
  1 week                    Mon – Thu 2pm – 5pm + 6pm – 9pm             Acton     £216
                   27
                              Fridays from 2pm to 5pm only
                                       Evening
  2 weeks                                                               Acton     £192
                   24             Mon – Thu 6pm-9pm

                                Daytime – morning class
  2 weeks                                                               Acton     £240
                   30           Mon – Fri 9.00am-12.00am

                                       Evening
  4 weeks                                                               Acton     £384
                   48             Mon – Thu 6pm-9pm

                                Daytime – morning class
  4 weeks                                                               Acton     £480
                   60             Mon – Fri 9am-12am
 10 weeks
                                        Evening
  Twice a                                                               Acton     £320
                   40             Tue – Thu 6pm-8pm
 week only
 10 weeks
                                        Evening
  Twice a                                                               Acton     £320
                   40             Mon – Wed 6pm-8pm
 week only

  3 weeks                          Daytime - weekend
 Saturdays                           3 x Saturdays                      Acton     £120
                   15
    only                            10am – 3.00pm
                Speaking                             Monday
4 weeks            and                           9.00am-12.00pm                    Acton           £96
                Listening                           6pm-8pm
                                                     Tuesday
4 weeks                                          9.00am-12.00pm                    Acton           £96
                 Reading
                                                    6pm-8pm
                                                   Wednesday
4 weeks           Writing                        9.00am-12.00pm                    Acton           £96
                                                    6pm-8pm
                                                    Thursday
                  Exam
4 weeks                                          9.0am-11.00pm                     Acton           £96
                 Practice
                                                    6pm-8pm
                Grammar
                                                      Friday
                   and
4 weeks                                          9.00am-13.00pm                    Acton           £96
               Vocabulary
                                                    6pm-8pm
                for IELTS

          Please tick the course you want to book and fill in the preferred dates (please fill in at least two
               course dates in case there are not any available spaces on the dates you specified).
                             Please check the available dates on www.wlc.ac.uk/ielts

                                          Preferred course dates

                                  FROM                       TO                     Times
                    1
                    2
                    3


                     IELTS Practice Material                         £15
                                                             (including postage)
                    IELTS Online mock test 1
                                                                      £25
                    IELTS Online mock test 2
                                                                      £25
                        Access to the learning
                                                                      £12
                            centre

                                          How to order and how to pay:

                    
                    Scan the form and email it along with the debit card payment form to
                                              ielts@wlc.ac.uk
                Send the order form along with the credit card payment for to the address
                                                   below:
              Send the order form along with the cheque or a postal order payable to EHWLC
                                           to the address below:


                                           IELTS Administrator
                                Ealing, Hammersmith & West London College
                                            Gunnersbury Lane
                                                 Acton
                                                London
                                                W3 8UX

				
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