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Booking Details

First name:

Family name:

Date of Birth : 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 January February March April May June July August September October November December 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999

1st line of address:

2nd line of address:

Town / City :

Post code :

Country:

Telephone number :

Fax number :

E-mail address :

Nationality:

Sex: Male Female

Language level: Beginner Elementary Intermediate Advanced Not sure

Course Required

Please select course: General English 18 years + Business English English for Exams General English for juniors 12 to 17 years Intensive two part study programme

Tuition per week : 10 Hours 15 Hours 20 Hours 25 Hours 30 Hours

Please select additional package: City Escape Cultural Escape Shopping Plus Junior Plus None

Preferred arrival date: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 January February March April May June July August September October November December 2007 2008 2009

Please select length of course: 1 Week 2 Weeks 3 Weeks 4 Weeks Other

Vegetarian ? Yes No If yes please give details in comments box.

Do you smoke? Yes No

Do you have any allergies or medical problems?

If yes please give details in comments box.

Would you like Seapoint Homestays UK to arrange transfer from airport, seaport or train station? Yes No

If yes please give details in comments box.

Additional details:

Please select the best way for Seapoint Homestays Uk to confirm your booking:

E-mail Post Telephone Fax

We require a 25% deposit when you book (non refundable) we will email you with our bank details and payment must be recieved within 48 hours of booking. We accept payments by Sterling Bankers Draft drawn on a London Bank or by Bank Transfer, or Eurocheque.   (Your bank will advise you.) All bank charges are the responsibility of the Transferee.  

Upon receipt of the Booking Form and Deposit, Seapoint Homestays UK will send a confirmation letter with a final invoice.  The balance of fees MUST be received not later than 28 days before the start of the course.  We cannot guarantee to hold the booking unless full payment is received by the due date.  No course will commence until the full fees are received.

Cancellation charges are as follows:

Up to 14 days before start date:        20%

 Up to 7 days before start date          50%

 Less than 7 days before start date    100%