IELTS Test Preparation Course Registration with Payment Form

IELTS Test Preparation Course Registration Form
Student Information
Name

First NameLast Name
Email Address
example@example.com
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

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Group/Referred by:
If you do not know who referred you please enter "0"
Level Selection
Please upload a screenshot of your Cambridge Assessment. MAKE SURE YOUR FILE DISPLAYS THE DATE AND TIME OF THE ASSESSMENT RESULT. USE THE FOLLOWING LINK FOR THE ASSESSMENT: https://www.cambridgeenglish.org/test-your-english/general-english/

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Student Signature

IELTS Test Preparation Course$240.00 CAD

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Subtotal Tax Total $0.00 CAD

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IELTS Test Preparation Course Registration Form