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Please print this form, fill it in clearly in block capitals
and post it to TESOL-direct

TESOL-direct
ETC Distance Learning Ltd
53 Greenhill Road, Moseley,
Birmingham B13 9SU (UK)

My contact details
Title (Dr/Mr/Mrs/Ms/etc): First & Last Name:
Address:
Town/City: Postcode/ZIP:
Country: Date of birth (dd/mm/yy):
First language: Nationality:
Email: Telephone:
Please send me the following TESOL-direct course/s by:
(Circle price to indicate the course/s and required method of delivery.)
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TESOL Certificate Course (single payment)
£395 £430 £470
TEACHING BUSINESS ENGLISH Course (single payment)
£299 £335 £360
Teaching English to Young Learners course (single payment)
£245 £280 -
TESOL Certificate + TEACHING BUSINESS ENGLISH Courses
(Single payment including £25 discount. Both courses complete.)
£669 £740 £805
TESOL Certificate Course (in two instalments)
(First instalment: Module 1)
£250 £285 £335
TESOL Certificate Course (in two instalments)
(Second instalment: Modules 2 & 3)
£175 £175 £175

(Prices and discounts valid from 1 January 2010.)

     
 
I first heard about TESOL-direct courses from: (please tick one)
TESOL-direct
website
Other
website
Newspaper/magazine
advertisement
TESOL/TEFL
journal
Recommendation Other

I wish to pay by the following method (all courses have a money-back guarantee):
Cheque made payable to 'ETC Distance Learning Ltd' drawn on a UK bank account:
Money order / banker's draft number:
Electronic Transfer reference number:
Credit/Debit Card Number Start date Expiry date Issue No.
/ /
Card issuer: Visa - Mastercard - Access - Switch - Delta (Month/Year) (Month/Year) (Switch only)
Cardholder's signature: Card security no. (3 digits
next to signature on card)
Cardholder's name (BLOCK LETTERS):
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TESOL-direct accepts major credit and debit cards.
Money-back guarantee with all courses.

www.tesol-direct.com