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You can use this form if you would like to receive our brochure by post, or if you want to ask any questions about Severnvale and the services we offer, or if you'd like to be put in touch with an agent in your own country who can help you arrange your course. We’d also be interested to know that you have visited our web site, what you think of it, and how you found it! We appreciate your time and effort in responding - and we will get back to you with our comments, thoughts and answers as quickly as we can...

Personal Information [FAMILY NAME AND EMAIL ARE REQUIRED FIELDS]

Your family name [REQD]
Your first names
Your age-group    [REQD] under 18  18-25   25-35   over 35  
Your email address [REQD]
Your fax number
Your postal address
Country
Post/Zip code

Which agent or consultant recommended this website to you?
NOTE: As this website is mainly for agent recommendations, the first box is a Required field.  If you found the site in some other way, please put 'None'

Agency/Consultant's name [REQD] (If none, put 'None')
Any contact details - ONE of: phone, fax, email, or address - for your agent or consultant would be helpful This is NOT a
 required field.
If you found this site in some other way (see below) would you like us to put you in contact with an agency in your country? Yes     No

If you came to this website other than through an agent, how did you find it?

From a search engine or directory? Which engine or directory?
From another web site? Which site?
Through a friend?
Other.  Please give details

About You

Are you... a professional person
a college/university student
a company training organiser
a parent of a young student
a school student
other Please give details
Are you interested in... English for business
[check as many as you wish] English examination courses
Intensive general English courses
Long general English courses
Adult summer vacation courses
Junior summer vacation courses
Would you like us to... Send you our brochure by post Yes please No thank you
Answer your questions by email Yes please No thank you
Send you information by fax Yes please No thank you

Please send your comments now or go back and re-edit them.


This page was last updated on 18 February 2002 - webmaster