Online English Language Course Booking Form - Alpha School of English Language

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Please note that all fields marked with this symbol * are required and must be filled in.

Your booking will be confirmed within one working day.

* Your family name: e.g. "Williams" Address: e.g. "34 High Street"	* Your first name: e.g. "Andrew" * Your nationality / mother language: e.g. "Maltese" I have studied English for: e.g. "2" Years My current English level is:
* Country: e.g. "Malta" * Telephone: e.g. "0035621581474" * Email: e.g. "name@example.com" Upload a passport/ID photograph	* My gender is: * Your date of birth: e.g. "31/01/1990" Occupation: e.g. "Engineer" * I confirm that I have read and agree to abide by the Alpha School of English Terms and Conditions.

* Course dates from: e.g. "dd/mm/yyyy"	* Course dates to: e.g. "dd/mm/yyyy"	* Selected Course:


If you would like to book additional courses or make a booking for more than one person, please provide the details in the Additional Information box below.

Adult Leisure Pack
Family Fun Pack
Family Leisure Pack
Family Adventure Pack
Vacation English Activity Pack
Vacation English Plus Activity Pack
Vacation English Sports Activity Pack
Family Jeep Safari
Full Day Quad Tour around Gozo
Seaplane to Gozo
Family Fishing Trip (min. of 4 persons)

Family Visit to Malta Falconry Centre
Trip to Popeye Village
Meditteraneo Marine Park
Go-Karting
Swimming with Dolphins
Wake-Boarding
Water-Skiing
Parakiting
30 minute Scenic Flight
30 minute Scenic Flight plus *
* Premium cockpit seat with 180 degree views.

Airport Transfer Required?
Arrival Flight number:	Date and Time: :
Departure Flight number	Date and Time: :

Date from: e.g. "dd/mm/yyyy"	Date to: e.g. "dd/mm/yyyy"	Other selections:
If you are booking other accommodation offered by the school please provide details in Additional Information box below.

Please complete this section ONLY if you have chosen Host Family Accommodation:
Air-conditioning (Subject to availability) Private bath/shower (Subject to availability)		Do you smoke? Do you like children? Do you like pets?
Do you require a special diet? (e.g. Vegetarian). If yes, then please give details: Do you have any allergies or is there anything else you feel may be useful for us to know?

A non-refundable deposit of €100 is required to secure any reservation. The reservation should only be considered as confirmed after the school has issued a letter of confirmation and invoice. You can pay this deposit immediately by PayPal (€3.88 fee) or choose the pay by bank transfer option.
* Deposit method:	* Enter your PayPal Transaction ID or Bank transfer reference:

Pay €100 + €3.88 fee by PayPal	Pay €100 by bank transfer
Clicking this PayPal button will pop-up a new window so you can make your payment and return to this screen to enter your transaction ID.	Account Name:	Alpha School of English
	Account Number:	148 0747 9011
	Bank Address:	Bank of Valletta Preluna Towers The Strand, Sliema MALTA
	BIC/Swift Code:	VALLMTMT
	IBAN:	MT18VALL22013000000014807479011

(Please use the space provided below to advise the school of accompanying students or family members, to book a Special Offer Package or inform us of any other particular requirement you may have.)

If you have any technical problems with this form then please email us to arrange your details.

Alpha School of English Language Malta - www.alphaschoolmalta.com

Call today: +356 2158 1474 or +356 2158 1475 or visit at Alpha School of English, Arznell Street, St Paul's Bay, SPB3232 MALTA. VAT registered number MT 1101-2007. All prices on this website include VAT unless stated. Contracts and correspondence are concluded in English.

Part-financed by the EU European Regional Development Fund

www.europa.eu | www.ppcd.gov.mt