Registration

Your chosen course
Course title
Other course / course comments
Course start
Number of weeks
Your approximate level

Accommodation
Accommodation required	Yes No
Arrival date
Departure date
Homestay, Halfboard	Single room Single room ensuite Twin room Twin room ensuite Triple room
Homestay, Fullboard	Single room Single room ensuite Twin room Twin room ensuite Triple room
School Apartments, Selfcatering	Single room in shared apartment Shared room in shared apartment Triple room in shared apartment 1-Bedroom apartment 2-Bedroom apartment 3-Bedroom apartment
Residence Portobello	2-Bedroom apartment Single room in shared apartment Twin room in shared apartment
Other accommodation
Do you smoke?	Yes No
Special needs
Airport Transfer
Transfer required	Yes No
Arrival date	(if known)
Airline	(if known)
Arrival time	(if known)
Flight number	(if known)

Comments


I have read and understand the Terms & Conditions .



If you can't send the registration form, simply "Copy" and "Paste" the information on the previous page in to an email to info@learn-english-in-malta.com .