To book please complete this form. The information will be sent as
an email to
admin@english-in-york.co.uk. Please make sure you read our Terms and Conditions before booking.


Alternatively, please call ...+ 44 1904 636771 to book by telephone
OR complete the booking form omitting payment details and we
will be pleased to accept payment upon enrolment.


Thank you.



First Name
Family Name
   
Address
Telephone Number
including codes
email address
Title
Mr Mrs Ms
Gender
Male Female
Age
Nationality
   
Approximate  English Level
   
Course Chosen
   
Course Dates:  
Start (dd.mm.yy)
Finish (dd.mm.yy)
   
ACCOMMODATION:  
   
Do you need a host family?
Yes No
   
Do you smoke?
Yes   No
   
Do you have any special dietary needs? (e.g. Vegetarian)  If so please specify.
Do you have any medical conditions or allergies? If so, please specify.
Any more important information.  If so please specify.
   
Contact source:  How did you find
out about EiY?
   

 

- N.B.

- Sorry - We don't take beginners (i.e. students with no English at all)
- A £50 registration fee is charged for all students
- There are discounts available for long term students - please ask!


English in York is a subsidiary of Partners in Training Ltd, whose
data use policy fully complies with the Data Protection Act 1998,
its subsequent enactments, and the relevant European directives.

Partners in Training Ltd disclaim any responsibility for the loss of
the information on this form - all data is sent at owner's risk.  By
agreeing to send us this information, you hereby agree to these
terms.