Online Booking Form

Course Type*

Part TimeFull Time

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If you wish to book and pay for your course online, please fill out the form below.

Please note: Personal details received by the Kildare Language Institute (KLI) will be treated in absolute confidentiality and will not be used for purposes other than KLI enquiries and/or bookings.

If you wish to make a booking, please fill out the form below. In order to secure your place a €200 deposit (or equivalent in other currencies) is required. Please use our secure online payment facility to process this transaction. Alternatively, please indicate payment method at the end of this form.

Please note: Personal details received by the Kildare Language Institute (KLI) will be treated in absolute confidentiality and will not be used for purposes other than KLI enquiries and/or bookings.

Your course

Course*

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Course*

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Course Level*

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Course Start Date*

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Course Finish Date*

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Your Flight

Flight No

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Airport Transfer

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Arrival Date

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Arrival Flight Time/Details

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Departure Date

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Departure Flight Time/Details

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Your Accommodation

Accommodation Type

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Requirements

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Do you have any special requirements, for example diet?

Do you smoke?

NoYes Invalid Input

Other Details

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Your details

First Name*

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Surname*

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Gender

MaleFemale Invalid Input

Date of Birth

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Tel No*

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Mobile

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Email*

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Confirm Email*

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Nationality

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First Language

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Applicable if not English.

Payment Price

EUR0.00

Payment Method

Bank TransferBank DraftOnline

*

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Online Booking Form

Book your Course Online