Transfer Request Form - Bury Language School A Safe and secure environment for our students to learn English and explore the traditions and history of England

Transfer Request Form

Transfer Request Form


Name:

Email:

Tel:

Fax:

Address:	</td></tr><tr><td colspan="2"><span class="mosform_error"><strong></strong></span></td></tr><tr><td><label for="mosform_6">Do you want to be picked up from the station/airport by a taxi and taken to your homestay?</label> </td><td><select id="mosform_6" name="pickup?"> <option value="not chosen">--Please choose--</option> <option value="Pick up and take to Homestay">Yes</option> <option value="Don't pick up">No</option></select> </td></tr><tr><td colspan="2"><span class="mosform_error"><strong></strong></span></td></tr><tr><td><label for="mosform_7">If you want a taxi driver to meet you on arrival please choose one of the following:</label> </td><td><select id="mosform_7" name="taxifare?"> <option value="not chosen">--Choose if appropriate--</option> <option value="will pay">I will pay for the taxi at the time</option> <option value="fare included in college fees">I have included my taxi fare in my total fee</option></select> </td></tr><tr><td colspan="2"><span class="mosform_error"><strong></strong></span></td></tr><tr><td colspan="2"><h6>Flight Details</h6></td></tr></td /><tr><td></td></tr><tr><td colspan="2"><span class="mosform_error"><strong></strong></span></td></tr><tr><td><label for="mosform_9">Airline:</label> </td><td><input class="inputbox" id="mosform_9" maxlength="50" size="50" name="airline" /></td></tr><tr><td colspan="2"><span class="mosform_error"><strong></strong></span></td></tr><tr><td><label for="mosform_10">Flight Number:</label> </td><td><input class="inputbox" id="mosform_10" maxlength="50" size="50" name="flightnumber" /></td></tr><tr><td colspan="2"><span class="mosform_error"><strong></strong></span></td></tr><tr><td colspan="2"><h6>Departure Details</h6></td></tr></td /><tr><td></td></tr><tr><td colspan="2"><span class="mosform_error"><strong></strong></span></td></tr><tr><td><label for="mosform_12">Airport/Train Station</label> </td><td><input class="inputbox" id="mosform_12" maxlength="50" size="50" name="deptairport" /></td></tr><tr><td colspan="2"><span class="mosform_error"><strong></strong></span></td></tr><tr><td><label for="mosform_13">Departure Time:</label> </td><td><input class="inputbox" id="mosform_13" maxlength="50" size="50" name="deptime" /></td></tr><tr><td colspan="2"><span class="mosform_error"><strong></strong></span></td></tr><tr><td colspan="2"><h6>Arrivals Details</h6></td></tr></td /><tr><td></td></tr><tr><td colspan="2"><span class="mosform_error"><strong></strong></span></td></tr><tr><td><label for="mosform_15">Date:</label> </td><td><input class="inputbox" id="mosform_15" maxlength="50" size="50" name="arrivaldate" /></td></tr><tr><td colspan="2"><span class="mosform_error"><strong></strong></span></td></tr><tr><td><label for="mosform_16">Arrival Time:</label> </td><td><input class="inputbox" id="mosform_16" maxlength="50" size="50" name="arrivaltime" /></td></tr><tr><td colspan="2"><span class="mosform_error"><strong></strong></span></td></tr><tr><td><label for="mosform_17">Comments:</label> </td><td><textarea class="inputbox" id="mosform_17" name="comments" rows="5" cols="50" /></td></tr></tbody></table><span class="mosform_group_title"></span><table style="BORDER-RIGHT: black 0px solid; PADDING-RIGHT: 10px; BORDER-TOP: black 0px solid; PADDING-LEFT: 10px; RIGHT: 10px; LEFT: 10px; PADDING-BOTTOM: 10px; BORDER-LEFT: black 0px solid; PADDING-TOP: 10px; BORDER-BOTTOM: black 0px solid; BACKGROUND-COLOR: #dcdcdc" summary="mosForm table to layout dynamc form"><tbody><tr><td colspan="2"><span class="mosform_error"><strong></strong></span></td></tr><tr><td><label for="mosform_18" /></td><td></td></tr><tr><td align="right" colspan="2"><input type="submit" name="Submit" /> </td></tr></tbody></table></div></body> </html>