Course Registration Form-Package

IELTS Package Form

IELTS Test + IELTS Prep Course
Student Name *

First Name Middle Name Last Name
Birth Date *

Month Day Year
Address

Street Address

Street Address Line 2

City State

Zip Code Country
Email *
example@example.com
Phone Number *

+1 Phone Number
Module *
How did you hear about us? *

Facebook Google Sprott Shaw College CDI College Vancouver College Mayfair Immigration IELTS Checkout (Test Day) Form IELTS Webinar Email
Please Note: Registration is subject to acceptance by Coast English Testing.
Important: To proceed to payment turn on pop-ups on your

device if you are using Google Chrome.

How to enable the pop-ups:

On your device, open Chrome.
At the top right, click More : and then Settings.
At the bottom, click Advanced.
Under 'Privacy and security', click Site settings.
Click Pop-ups and redirects.
At the top, turn the setting to Allowed or Blocked.
PACKAGE

Package Payment
Should be Empty: