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IALC International Association of Language Centres

IALC Workshop 2011 – Agent Pre-Registration Form

If you are a study travel agent and wish to receive an invitation to the IALC Workshop in Shanghai, please fill out the details below and we will respond within 14 days.

IALC Partner Agents please do not apply. A registration will be sent to you by separate email.

Agency Information

The required fields are marked with " * ".

Company Name*:

Address Line 1*:

Address Line 2:

City*:

Post / Zip Code*:

Country*:

Telephone*:

Fax:

Website*:

Year of Foundation*:

Number of Employees*:

Number of Students Sent in 2010*:

Has your agency sent students to IALC Schools in the last 12 months ?*:

Please name all IALC schools to which you send students in 2010:

School 1:

What language programmes /destinations are you looking for (up to 100 words)?*:

Agency Contact Details

Title (Miss., Mr., Mrs. etc.)*:

First Name*:

Last Name*:

Job Title*:

Email*:

Secondary Email:

Comments:

Workshop 2011 Shanghai

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School & Agent of the Month

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