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Small group application form

 

 

English courses

application form for small group classes

please use 1 form for each applicant

 

Student name

                                 

 

 

Guardians name

If applicant is 16 or under

 

Contact number

 

Age

           

 

Contact number

 

e-mail

 

 

Gender  M/F

 

e-mail

 

 

 Places are limited to a maximum of 8 students per class

 Each class requires a min. of 3 students, so consider telling and enrolling with a friend

 

 Application does not guarantee a place, a place is considered secure upon the issuing of a receipt for course fees

 

 Payment Methods are cash, crossed cheques made payable to 'Mr. Christopher A. Rose', or account transfer to either;

 the Bank of China# 012 595 1 0114244  or  HSBC# 181 4 058861

 

 Course fees are payable in advance for each course (part of 10 lessons) and are non-refundable and non-transferable

 

 Small classes sizes of max. 8 people - Act now to request your place

 Join with a friend and receive a 5% discount

 Cycle 1 2011, classes starting in November, for details please see www.RoseEnglish.com

course(s) fee HK$

select     

courses  

ü

 

Advanced

C2

 

  

 

 

 

       

 

 

  

 

 

 

 

 

  

 

 

 

 

 

 

 

 

 

 

 

 

Upper Intermediate

C1

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

 

 

 

 

 

 

 

Intermediate

B2

 

 

  

 

 

 

 

 

   

 

 

 

 

 

     

 

 

 

 

 

 

 

 

 

 

 

 

Pre-Intermediate

B1

 

 

   

 

 

 

 

 

   

 

 

 

 

 

    

 

 

 

 

 

 

 

 

 

 

 

 

Elementary

A1 - A2

 

 

     

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

sub-total 

$

 

 Please print or request an application form via e-mail

 

discount  

$

 

 

 

total 

$

 

 

Rose English Image0001

Rose English

Room 904, 9th Floor,

Wing Fu Building, 18–24 Wing Kut Street, Central,

Hong Kong

Telephone

852 947 847 30

e-mail

ChrisRoseHK@Hotmail.com

EnglishTutor@RoseEnglish.com

MSN

ChrisRoseHK@Hotmail.com

Facebook

Chris Rose

 

 

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 Telephone  

852 947 847 30

Rose English

 

Room 904, 9th Floor

Wing Fu Building

18–24 Wing Kut Street

Central, Hong Kong         

 e-mail

ChrisRoseHK@Hotmail.com 

EnglishTutor@RoseEnglish.com

 MSN

ChrisRoseHK@Hotmail.com

 Facebook

Chris Rose

 (c) Copyright - Mr. Christopher Rose     September 2008, 2011 all rights reserved