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Please print this form, fill it in clearly in block capitals |
TESOL-direct |
| 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.) |
Download from website |
Send CD-rom by post |
Send printed by post |
|---|---|---|---|
| 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): |
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| 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) |
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| Cardholder's name (BLOCK LETTERS): | |||
 TESOL-direct accepts major credit and debit cards. Money-back guarantee with all courses. www.tesol-direct.com | |||