Apply Summer Program
Date of Birth:
Please select desired program and
3 week - June 6, 2011
3 week - July 04, 2011
3 week - August 1, 2011
4 week - May 30, 2011
4 week - July 4, 2011
4 week - August 1, 2011
6 week - July 4, 2011
If you are traveling with a friend
or relative, and would like to reside in the same homestay,
please tell us this person's name:
Do you smoke?
Do you have any allergies?
If yes, please explain:
If you would like to provide us
with other information, please use the space below:
I will be paying the $100.00 non-refundable application deposit by:
If you have selected to pay by credit card, please complete the online credit card
payment information below. We accepts only MasterCard or Visa credit cards.
Bank Transfer(Wire Transfer)
How to make your payments by bank transfer (wire):
To make the bank transfer (wire) payment you will be given
specific instructions after you have completed this application.
Upon completing this bank transfer the funds will be credited to your
student account at London Institute Language
Credit Card Number
Credit Card Expiry
If you do not wish to pay with credit card at this time, please leave the section blank and click "Submit". An LLI representative will contact you regarding your application and payment options.
After completing the above
information, please press the "Submit now!" button. London
Language Institute will be in contact with you within 3