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Exclusively English

Rose Cottage
Hilfield
Dorchester
England
 DT2 7BD
 UK
tel: +44 19 63 21 00 91
info@exclusivelyenglish.co.uk
Exclusively English - Language Training for Professionals
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Registration Form

Personal Details
Title*
First Name*
Last Name*
Email*
Gender*

Male Female

First Language*
Professional Role
 

Special Dietary Requirements
  Vegetarian*
 

Dates
  1st Choice*
  2nd Choice*
  Length of course* 1 week 10 days 2 weeks
 

Weekend Excursions / Options - for courses of more than 1 week
See weekend options under course programme

Option 1 - Full Weekend

500 euros
Option 2 - Part Weekend 400 euros
Option 3 - Accommodation 250 euros
 
Business Sector (i.e. banking, pharmaceuticals etc.)
 

Invoice Address

Address 1*
Address 2
Address 3
Town*
Country*
 

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