- Pilgrims English Language Courses

Course Details

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Accommodation Options

Accommodation is included in the course price

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Students Personal Details

Title

First Name(s)

Family Name

Mother Tongue

Nationality

Gender

Date of Birth (DD/MM/YYYY)

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Contact Number

You do not need to add your international dialing code in this field.

e-Mail Address

Home Address

Please include and postal/zip code and country.

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How did you hear about Pilgrims?

Where did you hear about us?

Friend / Colleague
Company Training Manager
British Council
Agent / Consultant
Internet
Pilgrims Mailshot
Other

Please provide further details

Have you been to Pilgrims before?

If so, when?

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Medical Details

Do you have any allergies?

Do you have a medical condition or disability we should know about?

Do you have any special dietary requirements?

If you have answered yes to any of the three questions above please provide further details.

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Permissions

I would like to receive future information about Pilgrims?

Once your reservation has been submitted to us, we will contact you to confirm your booking. How would you like us to contact you?

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Who Do We Contact in an Emergency

Title

First Name(s)

Family Name

Relationship to Student

Please select an international dialing code

Home Phone

You do not need to add your international dialing code in this field.

Work Phone

Mobile Phone

e-Mail Address

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Payment Details

How will you be paying for your course?

Bank Transfer
Credit Card

You have selected to pay by bank transfer. Our bank account details will be provided in the next step
You have selected to pay by credit or debit card now. In the next step you will be redirected to our secure payments partner Stripe where you can make your card payment

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Booking Received

Thank you for your booking.

Your unique booking reference number is: unknown

You have selected to pay for your booking by bank transfer. The details of our bank account are as follows.

IMPORTANT: Do not pay any fees until we have confirmed your place on your course, and the amount that you must pay.

HSBC Bank

A/C Number: 82787830
Sort Code: 40-35-34
IBAN Number: GB 27 MIDL 4035 3482 7878 30
Swift / BIC: MIDLGB22

Thank you for your booking.

Please click here to be redirected to our secure credit card payments site.

To complete your booking and to confirm your place, you now need to make make a payment with your credit or debit card.

Your unique booking reference is: unknown