Online Enrolment Form

Student Details
	First Name		Surname
	Address
	Day Phone		Mobile
	Evening Phone		Fax
	Personal Email
	Work Email

Class Details
	Language
	Location
	Day
	Time		Standard
	Course Name		Intensive
	Term
Payment Details
	Course Fee		Payment Method
		Please make cheques or money orders payable to 'Opening Doors School of Languages', and either mail payment to us or make payment in person at least one week prior to your first class. If paying by credit card, we will call you for your credit card details when processing your enrolment. *Please note that payments by credit cards will incur a 3% surcharge		Bank details for electronic transfer Bank: ANZ BSB: 013-400 Account No.: 485815637 Name: Opening Doors School of Languages Please enter your full name as the transaction reference when transferring funds directly.

I hereby agree to be enrolled in the Opening Doors School of Languages and to the terms and regulations. I understand that the Opening Doors School of Languages has the right to vary or cancel an application made on the basis of incorrect or incomplete information.
Reasons for enrolment
	General Interest Travel Business Purposes
	How did you learn of Opening Doors?