Bootstrap Form

Partnership Registration Form

AUTHORISED PERSON CONTACT DETAILS

Please provide the contact details of the person who is authorised to communicate with Imperial English UK.

Title

First Name

Surname

Telephone

Mobile Number

Email Address

ORGANISATION DETAILS

Please provide the contact details of the person who is authorised to communicate or responsible for communicating with...

Organisation Name

Organisation Website

Organisation Telephone

Organisation Email

Organisation Address

Country

SUBSCRIPTION PURCHASE DETAILS

Please select the course subscription package you want to purchase. One student can study any one course on any one level using one course subscription.

Select Package

By checking this box I confirm that I have read and agree to be bound by the Imperial English UK Terms of Agreement. If I am agreeing on behalf of my company, I represent and warrant that I have legal authority to bind my company to the terms of Agreement. I also confirm that I am of the legal age of majority in the jurisdiction in which I reside (at least 18 years of age in many countries).