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First name

Last name

Native Language

Phone number

Email

Country

Type of course:

Individual course

On-site group course

Online group course

Business course

I am primarily interested in the following type of group courses:

Daytime (10.00-12.00)

Evening (19.00-21.00)

Intensive (Four times per week)

Semi-intensive (Two times per week)

Course start

Have you attended language courses before? If so, which school and when?

Other languages you can speak:

Briefly describe your duties and tasks at your workplace

What are your expectations for this course?

How did you discover Language Power International?

Internet

Referral

Social media