New Client Booking Form
Hi! You are finally here. Thanks for reaching us out. By completing this form, we will be at ease to guide you and help you decide and simplify your study needs.
Customer Details:
Full Name/Company Name
*
E-mail
*
example@example.com
Phone Number
*
Address
*
Are you a new client?
*
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Course Details:
[PRIVATE Class] Current English/Bahasa level of proficiency
Please Select
A1
A2
B1
B2
C1
C2
Course Specification
*
Please Select
General English
General Indonesian
Business English
TOEFL
IELTS
Translating
Interpreting
Class Setting
*
Please Select
Online
Offline
[CORPORATE] Please specify the course design
Rows
Package (10/20 hours)
Proposed Schedule (days/time/duration)
*custom class design (exm. speaking/emailing, etc.)
1
other
[PRIVATE class] Please specify the course design
Rows
Package (10/20 hours)
Proposed Schedule (days/time/duration)
*custom class design (exm. speaking/emailing, etc.)
1
Participant(s) Detail
*
Please Select
Private (Online ONLY)
Corporate
Group (min. 3 pax)
Please Specify
*
Participant(s) detail: numbers of participants, age, level of English, English study background
[CORPORATE] Please specify the course design
Rows
Numbers of participants (max. 10 pax/group)
Age range
Level of English/Bahasa(A1/A2/B1/B2/C1/C2)
Study Background (exm. school/never)
1
other
[PRIVATE class] Please specify the course design
Rows
Numbers of participants (max. 3 pax/group)
Age range
Study Background
1
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***Any additional notes?
Further Discussion & Meeting
*
Please specify
*
(ONLINE/OFFLINE meeting) / (location *offline, only South Bali area)
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