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Booking Form

This booking form should be completed by the student, or in the case of children by a parent or guardian.

To make a booking:

1. Print this page (please check you can see the 'purchase agreement' at the bottom before printing).

2. Fill in the details.

3. Post with your payment to the address above, or fax to us on +44 (0) 1865 516517.
Your Details
Name: ................................... Title (Mr,Mrs,etc.): ...................................
Home Address:

...............................................................................................................
Postcode: ...................................
Tel (Home):
 ................................... Student Details (complete if student is a child):
Tel (Work): ................................... Name: ...................................
Tel (Mob): ................................... Title (Mr,Miss,etc.): ...................................
Date of Birth: ................................... Date of Birth: ...................................
E-mail: ................................... E-mail: ...................................
 
Dutch Level (to be completed by the student)
What is your current level in Dutch?  
 
What level would you like to achieve?  
 
What is your motivation for learning Dutch?  

 
Prices        
  Price Postage Total How many?
Distance Learning Dutch Courses        
• Beginners (25 lessons) £229 £16 £245
 
• Beginners (25 lessons) - if booked by 15/07/2008 £204 £16 £220
 
• Elementary (25 lessons) £259 £16 £275
 
• Elementary (25 lessons) - if booked by 15/07/2008 £234 £16 £250
 
• GCSE 2008-2009 - Intensive (30 lessons) £379 £19

£398
 
• GCSE 2008-2009 - Intensive (30 lessons) - if booked by 15/07/2008 £354 £19

£373
 
• GCSE 2008-2009 - Exam Training (20 lessons) £269 £18

£287
 
• GCSE 2008-2009 - Exam Training (20 lessons) - if booked by 15/07/2008 £244 £18

£262
 
• International GCSE Foreign Language 2008-2009 - Intensive (30 lessons) £379 £19 £398
 
• International GCSE Foreign Language 2008-2009 - Intensive (30 lessons) - if booked by 15/07/2008 £354 £19 £373
 
• International GCSE Foreign Language 2008-2009 - Exam Training (20 lessons) £269 £18 £287
 
• International GCSE Foreign Language 2008-2009 - Exam Training (20 lessons) - if booked by 15/07/2008 £244 £18 £262
 
• AS-Level 2008-2009 (20 lessons) £359 £19 £378
 
• AS-Level 2008-2009 (20 lessons) - if booked by 15/07/2008 £334 £19 £353
 
• A2-Level 2008-2009 (20 lessons) £354 £18 £372
 
• A2-Level 2008-2009 (20 lessons) - if booked by 15/07/2008 £329 £18 £347
 
• A2-Level 2008-2009 (20 lessons) - If you have already completed our AS-Level Dutch distance learning course £314 £18 £332
 
• A-Level 2008-2009 - Intensive (25 lessons) £445 £20 £465
 
• A-Level 2008-2009 - Intensive (25 lessons) - if booked by 15/07/2008 £420 £20 £440
 
• A-Level 2008-2009 - Exam Training (20 lessons) £359 £18 £377
 
• A-Level 2008-2009 - Exam Training (20 lessons) - if booked by 15/07/2008 £334 £18 £352
 

To receive the £25 discount on one the above courses then please make sure we receive your completed booking form and payment by 15/07/2008 and if you are paying by bank transfer then please allow 3 working days for your transfer to arrive.
         
Part-Time Evening Dutch Classes (in Oxford)        
• Beginners 1 - Autumn 2008 (10 hours) - Thursday - 8pm £97 £0 £97
 
• Beginners 2 - Autumn 2008 (10 hours) - Thursday - 6.45pm £97 £0 £97
 
• Beginners 3 - Autumn 2008 (10 hours) - Monday - 8pm £97 £0 £97
 
• Elementary - Autumn 2008 (10 hours) - Tuesday - 6.45pm £97 £0 £97
 
• Elementary - Autumn 2008 (10 hours) - Wednesday - 6.45pm £97 £0 £97
 
• GCSE (Adults) - 2008-2009 (31 hours) - Wednesday - 8pm £345 £0 £345
 
• AS-Level - 2008-2009 (28 hours) - Tuesday - 8pm £319 £0 £319
 
         
Examinations        
• GCSE Dutch 2009 - all papers (with speaking on 9/05/2009) £114 £0 £114
 
• GCSE Dutch 2009 - all papers (with speaking on 9/05/2009) - late entry (after 11/02/2009) £161 £0 £161
 
• GCSE Dutch 2009 - Speaking exam in Oxford on 9/05/2009 - on behalf of another school £49 £0 £49
 
• GCSE Dutch 2009 - Speaking exam in Oxford on mutually convenient date - on behalf of another school £58 £0 £58
 

• AS-Level Dutch 2009 - AS paper only. Choose required format: 'old' / 'new'

 £83 £0 £83
 
• AS-Level Dutch 2009 - AS paper only - late entry (after 16/03/2009). Choose required format: 'old' / 'new' £130 £0 £130
 
• A2-Level Dutch 2009 - A2 paper only ('old' format only) £83 £0 £83
 
• A2-Level Dutch 2009 - A2 paper only - late entry (after 16/03/2009) ('old' format only) £130 £0 £130
 
• A-Level Dutch 2009 - both AS and A2 papers ('old' format only)
 £146 £0 £146
 
• A-Level Dutch 2009 - both AS & A2 papers - late entry (after 16/03/2009) ('old' format only) £193 £0 £193
 
• CNaVT 2009 - PTIT - all papers on one day £128 £0

£128
 
• CNaVT 2009 - PTPB - all papers on one day £118 £0

£118
 
• CNaVT 2009 - PMT - all papers on one day £134 £0 £134
 
• CNaVT 2009 - PPT - all papers on one day £140 £0 £140
 
• CNaVT 2009 - PTHO - all papers on one day £144 £0 £144
 
• CNaVT 2009 - PAT - all papers on one day £143 £0 £143
 
         
Mock Examinations        
All mock exam prices include papers, marking, a brief assessment of your results, and example answers.
• GCSE Dutch - all papers (on 31/01/2009) £89 £0 £89
 
• GCSE Dutch - listening & speaking paper on agreed day. Reading & writing papers to be posted to you. £108 £0 £108
 
• GCSE Dutch - speaking paper only (on 31/01/2009) £35 £0 £35
 
• GCSE Dutch - speaking paper only on an alternative mutually convenient day £45 £0 £45
 
• GCSE Dutch - reading paper (marking only) £27 £0 £27
 
• GCSE Dutch - writing paper (marking only) £30 £0 £30
 
• AS-Level Dutch (on 31/01/2009) Choose required format: 'old' / 'new' £42 £0 £42
 
• AS-Level Dutch (on 14/03/2009) Choose required format: 'old' / 'new' £42 £0 £42
 
• A2-Level Dutch (on 31/01/2009) ('old' format only) £42 £0 £42
 
• A2-Level Dutch (on 14/03/2009) ('old' format only) £42 £0 £42
 
• A-Level Dutch (AS on 31/01/2009, A2 on 14/03/2009) ('old' format only) £78 £0 £78
 
• AS-Level Dutch (marking only) Choose required format: 'old' / 'new' £36 £0 £36
 
• A2-Level Dutch (marking only) ('old' format only) £36 £0 £36
 
• Past exam paper: ......................................................................................... £3 £0.50 £3.50
 
         
Private Tuition        
Number of students
in group		 Price per hour per student
1 to 9 hours 10 to 19 hours (5% discount) 20+ hours (10% discount)
1 student £27 £25.65

£24.30
2 students £15 £14.25 £13.50
3 students £11 £10.45 £9.90
4 students £9 £8.55 £8.10
5 students £7.80 £7.41 £7.02
Number of students
in group		 Number of hours Price per hour
per student		 Total price
per student		 Total price
for all students
 
 
£
£
£

Once you have arranged lesson dates and times with your teacher, they may only be rescheduled with at least 24 hours notice. If you do not turn up or cancel with less than 24 hours notice then the lesson will not be rescheduled.
Purchase Agreement


I enclose a cheque/will transfer funds to your bank
account/will contact you to arrange payment* for a
total amount of £ …….....…

I agree not to reproduce or transmit in any form or by any
means any part of course material I receive without the prior
written permission of the Dutch Language School.


Signature: ………………………………………………… Date: ………………………

* Delete as appropriate


Please make cheques payable to: Dutch Language School

Please contact us for further details if paying by bank transfer.

Postage rates on this form are only applicable for the UK.

Please contact us for postage rates to other destinations.

Copyright 2008 Dutch Language School. All rights reserved.