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EEL Online Tuition Enquiry Form
Please fill in all the questions that is required for us to contact you.
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Email
*
Your email
Student First Name
*
Your answer
Student Last Name
*
Your answer
Student Date of Birth
*
MM
/
DD
/
YYYY
Gender
*
Male
Female
Prefer not to say
Other:
Student Email
*
Your answer
Full Address
*
Your answer
Based on our website. Which package(s) are you interested in?
*
Double Package
Triple Package
Double Package with Triple-Science
One-to-One Package
11+
A-Levels Group Package
A-Levels One-To-One Package
Required
What day(s) do you prefer for your online lesson to take place?
*
Weekday (Mon-Fri evenings)
Weekends (Sat-Sun)
No preference
Other:
Additional Information
Your answer
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