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Agent Information

Company Name:

Date Established:

Address:

Town/city

Country/State

Post Code:

Telephone

Fax Number

Company Email:

Website:

Your Contact Information

Family Name:

First Name: ^*

Job Title: ^*

Email: ^*

How did you hear about KBM BSE?
Facebook Twitter Google Yahoo Recommendation Kbm Bse website Other

Current Member Organisations:

Do you work with language schools in the U.K?
Yes No

What kind of clientele do you mainly cater to? (Tick all that apply)
High School Student University Student Young professionals Executives

What length of study is most commonly requested?
1 to 2 weeks 2 to 4 weeks Y5 to 6 weeks 7 to 8 weeks 9 to 10 weeks

Which courses are your Clients mainly interested in?
General English Diploma Courses Business English

Other (Please mention) ^*

How many students do you anticipate you will send to KBM BSE in one batch? ^*

Reference

Reference 1

Institute Name: ^*

Contact Name: ^*

Phone: ^*

Email: ^*

Website: ^*

Reference 2

Institute Name: ^*

Contact Name:^*

Phone:^*

Email: ^*

Website: ^*

Terms of Business : ^*

What commission do you expect? ^*

Do you want to work on a: ^* Net Fee Basis

Send me offers & updates I have read and accept the terms & Conditions

Note: In case of net fee, we send you 2 invoices, one with gross amount (for you to give to your client) and one with commission (for you to pay us).

Company

Activities & Excursions
Gallery
Brochure 2015
Terms & Condition

Contact Details

UK Office
Address: 1 Concord Business Centre, Concord Road, London W3 0TJ
Telephone: +44(0) 208 992 4506
Phone: +44(0) 20 8992 9090
Fax: +44 (0) 208 992 9091
Available:
Monday – Saturday, 9am - 5pm GMT
Email: info@kbmbse.com

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