BOOKING FORM

Booking Form

Important: To make the booking procedure as fast as possible,
please take your time to fill out the booking form as accurately
as you can! A booking confirmation will be sent to you by email.

PERSONAL INFORMATION

First name

Last name

Gender

Date of birth (DD/MM/YY)

Address row 1

Address row 2

Address row 3

Country

Telephone number

Mobile number

Email address

Confirm email address


CONTACT PERSON

Full name

Telephone number

Mobile number


COURSE INFORMATION

Name of School

Location of school (City)

Course code

Number of weeks

Start date (DD/MM/YY)

End date (DD/MM/YY)

Current level of language


ACCOMMODATION

Type of accommodation (check what the school offers)

Type of room (check what the school offers)

Type of board (check what the school offers)

Accommodation start date (DD/MM/YY)

Accommodation end date (DD/MM/YY)


MESSAGE TO SCHOOL / DiscountLanguageCourses.com
 (Allergies, food requirements, smoker, dyslectic etc.)



TERMS & CONDITIONS
 (Bookings with unaccepted terms will not be processed.)

I promise that the information above is true and understand that this booking is binding.

I understand that DiscountLanguageCourses.com (owned by JG Pro-Studies KB in Sweden)
is an online booking system which gives me the right to receive a 5% course discount, that
they are not the education provider and not responsible for the content of the course.

I have read and accepted the terms & conditions of the school that organizes the course.
I have also confirmed important information such as prices on the school web site since I am
aware that the information on DiscountLanguageCourses.com might not be perfectly up-to-date.

Vegagatan 29B | 413 11 Gothenburg | SWEDEN
Fax +46 31 24 14 62
info@discountlanguagecourses.com