Enrol Now – ABC College

ENROL NOW

Information

Family Name: *

Given Name(s): *

Telephone (home): *

Mobile Number:

E-Mail Address: *

Fax Number:

Address:

Date of Birth:

Male Female

Nationality:*

Passport Number:

Occupation:

Language

First Language:

Years of English studied:

Courses

Course Name:

Starting Date:

Length of study: week (s)

Arrival Information

International Flight No.

Arriving From:

Domestic Flight No.

Arriving From:

Arrival Date:

Arrival Time:

Do you require "Meet and Greet" service at Queenstown Airport? Yes No

Travel and Medical Insurance

I will arrange my travel and medical insurance before coming to New Zealand.

I would like ABC College of English to arrange my travel and medical insurance.

Accommodation Please select your preference from below

I would like homestay accommodation:

I would like lodge accommodation:

Number of weeks:

Start Date:

Finish Date:

I would like information about:

I will arrange my own accommodation:

* If you wish to stay with a host family, please indicate your preferences below:

Do you smoke? Yes No (if yes, you may be asked to smoke outside)

Do you like pets? Yes No (Most host families have cats/dogs in their household)

Do you want to stay with a family with children? Yes No

Do you have any special dietary requirements? Yes No

Do you have any health problems? Yes No

Message

If you have any other questions or comments, please use the space below:

Please click one of the buttons, or else you may print now and fax to +64 3 442 5244

10 Man Street, P.O. Box 755, Queenstown, New Zealand
T: +64 3 442 5233
F: +64 3 442 5244
Email: english@abc.ac.nz

ABC College of English is a member of ENGLISH NEW ZEALAND

OUR FEES

Holiday Dates

2017