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Please complete this form to book a course. We will contact you shortly to confirm details.
Personal Details
First Name
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Last Name
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Address
Country
Telephone Number
Email Address
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Male/Female
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Date of Birth
(dd / mm / yyyy)
Nationality
Passport Number
How did you hear about AEI?
Course
Course Name
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Accent Reduction
Aviation English
Business English
Conversation English
General English
Medical English
Workplace Engish
Active English
Active English - English+Culture
Active English - English+Cuisine
Active English - English+Nature
Active English - English+Walk
IELTS
OET
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Number of Weeks
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1
2
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4
5
6
7
8
9
10
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12
Preferred Dates
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To (dd/mm/yyyy):
Level of English
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Beginner
Elementary
Lower Intermediate
Intermediate
Upper Intermediate
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What is Your Language Level?
Homestay
Do you want homestay?
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Would you like AEI to meet you at the Airport on arrival/departure
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Declaration
I declare that I have read and fully understand the
terms and conditions
for the AEI course.
Payment
A booking deposit of AUD$250 is required. Click this button to proceed with payment.
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