LTC Quotation Request Form Family name* Given names:* Nationality* Date of Birth* Month Day Year Your email address* Please confirm your email* Phone Course and Accommodation Choices How many weeks would you like to study for? What month would you like to begin your course?* I don't know / I am not sure January February March April May June July August September October November December Courses General English - 20 lessons/15 hours per week General English Plus - 28 lessons/21 hours per week Exam Preparation - 20 lessons/15 hours per week Exam Preparation - 28 lessons/21 hours per week Young Learner Summer School Accommodation I don't need accommodation Homestay Half-board Single Room Homestay Bed and Breakfast Single Room Homestay Half-board Shared Room (Family & Friends only) Homestay Bed and Breakfast Shared Room (Family & Friends only) Residential (please note this is available only to students during the summer time unless you are travelling in a group) Your questions: Where did you first here about LTC Eastbourne? Please select.... Google Search An advertisement on Google An advertisement on a website Another search engine (e.g. Yahoo/Bing) English UK website British Council Website A agent / educational consultant A freind or your family An LTC student Facebook or Twitter A local organisation Other Thank you for your enquiry, we will reply with a detailed quotation as soon as possible.