English In Canada- information request

For more information about our programs,
please fill in the form below.


Family Name*  First Name* 

Address 

City  Country 
Postal Code  Telephone 
Mobile Phone e-mail* 

Gender  Nationality 
 Language(s) spoken 
Start:*  Study Period*

Do you want us to help you find accommodation ? Yes No

If yes, what type of accommodation?

Which English Programs are you interested in?

Intensive English Program (30 hrs per week)
Standard English Program (25 hrs per week)
Part-time English Program (15 hrs per week)

What type of English Classes are you interested in?
General English language courses
TOEFL Exam Preparation
TOEIC Exam Preparation
English for Business
English for University
English for Health Professionals
English for Tourism and Hotel Industry
    Other:


Where did you get information about Communiqued?

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