| Title: |
| First
Name: |
|
| Surname: |
| Address: |
|
| House
No.: |
| Town: |
|
| Postcode: |
| County: |
|
| Phone
(home): |
| Phone
(work): |
|
| Email
(home): |
| Email
(work) : |
|
| Mobile: |
| Fax: |
|
| 1.0
What type of tuition are you enquiring about? |
|
1.1
If you chose 'other',
please specify: |
|
| 2.0
Please state the examination board, if applicable: |
|
| 3.0
For how many people is the tuition enquiry? | |
| 4.0
Is the tuition for adults or children? Please specify, with ages for children: |
|
| 5.0
Is there any time pressure? | | |
5.1
If yes, please state the
(exam) date: |
|
| 6.0
Where would you prefer to be taught? | |
| 7.0
If necessary, how far would you be willing to travel? |
|
| 8.0
What day would you like the tuition to take place? |
|
| 9.0
What day couldn't you be taught on at all? |
|
| 10.0
At what time would you like the tuition to take place? |
|
| 11.0
How often and how long would you like the tuition to take place? |
|
11.1
We also offer online-tutoring,
please state your preference:
|
|
| 11.2
If under 11.1 you were also considering online-tutoring, please specify the following: |
|
| 12.0
When would you like to start? | |
| 12.1
Any other important information you would like to give us? |
|
| 12.2
Would you like to keep informed and updated by timefortalking.com? |
| |
| 13.0
Finally, please tell us where you heard about us: |
|
| 13.1
If you chose Yellow Pages, which classification? |
|
| 13.2
If you chose 'other' or 'other search engine', please specify: |
|
13.3
If you chose any search engine, please state keyword/s
you found our services
under: |
|
| We
would like to take this opportunity to thank you for taking the time
to fill
in this enquiry form. We shall be contacting you shortly.
Please
make sure to have included a correct email address,
as we will be contacting
you via email. |
| Now
click on SEND for submitting the form.
Many thanks. |
|
|
About
us