Any agents wishing to book a course on behalf of a student please contact the marketing department at English@manacad.co.uk
Please select a course, click on the course code then select duration and fee. For more information about the courses please click here. Alternatively, if you want to view your payments summary or to pay the balance from a previous invoice click here.
Type of Course Course Code
Duration Price(£)
Beginning on (any Monday)
Fields with * are compulsory.
If you wish to book a course starting on the
week of 24th November 2008 and the week of 1st/8th December 2008, please call us to check availability on
(+0044) 0161 237 5619 (Mon, Wed & Fri 9:00am-5:30pm, Tues & Thurs
9:00am-8:30pm).
Personal Details
Mr.
Mrs.
Miss
Male
Female
Surname
*
First Name
*
Address
*
City
*
Post Code
*
Country
*
Nationality
*
Date of Birth
*
(DD/MM/YYYY)
Tel. No.
*
(with STD)
Fax No.
*
(with STD)
Passport No
*
(or travel doc.)
Place of Birth
*
E-mail
*
Date of entry into the United Kingdom if already in the U.K
(DD/MM/YYYY)
Your Profession or Occupation
Education
Level of Education: University
College
Secondary School
Languages Spoken:
What do you think is your level of English?*
Complete Beginner
Elementary
Pre intermediate
Intermediate
Upper Intermediate
Advanced
Accommodation
Do you want the Academy to arrange accommodation for you? *
Accommodation
Type
Duration Price(£)
Homestay
Self-catering
None
Beginning Date:*
Accommodation starts Saturday or Sunday before course date and finishes Saturday or Sunday after leaving date.
if yes then please complete this section as well: Your religion
Degree of observance
Do you take any medication?* Yes
No
if yes, please specify
Do you have any allergies?* Yes
No
if yes, please specify
Do you have any physical handicap?* Yes
No
if yes, please specify
Do you have any existing medical conditions?* Yes
No
if yes, please specify
Have you seen a doctor or been admitted to a hospital in the last 12 months?* Yes
No
if yes, please specify
Please provide us the contact details of who we should contact in case of emergency:*
Full name:
Telephone number:
(include ISD code, eg +44 for England)
Email address:
Relationship:
Do you smoke? Yes
No
Any special diet?* No
Vegetarian Food
Kosher
Others
if others, specify
Airport Transfer
Single journey from Manchester Airport to the accommodation Would you like the Academy to arrange an airport transfer for you?
Yes
No
Insurance
Personal liability insurance cover is highly recommended when staying in MARSA and homestay. See terms and conditions.
Would you like the Academy to arrange insurance cover?
Yes
No
If no, please supply a copy of your own Insurance policy in English. Otherwise you are responsible for all costs if any damage occurs.
Source of Information How did you come to know about us ?*
Yellow Pages
British Council
English UK
Passing by
Recommended
Other
Internet
Terms and Conditions
I have read the terms and conditions and understood and agreed to the conditions of enrolment.*
Fees & Deposits
ÂÂÂ
25% of the tuition fees
£
Registration fee
£
Accommodation fees (Includes booking fee)
£
Airport transportation fee
£
Insurance (If required)
£
Payment Options
Total Deposit: £
Includes 25% course fee, £35 registration fee, 1 week homestay with £35 booking fee, insurance, airport transfer, as applicable
Full Payment: £
Includes Course Fees, Registration, Accommodation, Transportation and Insurance
Payment Methods
Online
Other
Card Type:
Surcharge:
£
Total Online Payment:
£
Please note we do not accept American Express cards
Pay by bank transfer, cheque, bank draft or cash.
The Academy will
only reserve places for a student when a deposit or full payment is obtained.
our focus is on your progress
St. Margaret's Chambers, 5 Newton St, Manchester, M1 1HL, UK T: +44 (0)161 237 5619F: +44 (0)161 237 9016
E: info@manacad.co.uk
2007 Manchester
Academy Tours Ltd. All rights reserved