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info@europeanhomestay.com
Tel: +44 1223 969152
Name of  Agency or School
Please select your country
Please tell us if you have worked with us before
If not please give us your address
Agent’s Comments
Number of Students and any further information
Please tell us if you would like to organise a package of  1:1 or 2:1 courses for a group of students in a particular location
Please select the language your client/s wish/es to study
Please select the language your client/s wish/es to study if you have more than one group or a different location
Student’s Surname if known
Student’s E-mail Address if known
Please give the student/s start date
Please select the  course duration
Please give the student/s end date
Please Select  Location  for 2nd choice or 2nd group
Student’s First name if known
Is/Are the student/s  Young Learner/s
Is a Private Bathroom  Required
Any Additional Nights
Accompanying Adult or Child
Is the course during Christmas?
Please Select the  Location
AGENT QUICK BOOKING
Please complete this form for any course enquiry or booking.  
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Once you have completed this form we will send you further information.
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When  the student completes the application form  they need to indicate on the form that they are booking through you as well.  
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For any promotion of our services that leads to a booking  a commission of 20% of the value of the course will be paid to all agents and schools.
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Please email agents@europeanhomestay.com for any queries.