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Private Lesson interest form
First name
Last name
Birthday
Gender
*
Female
Male
Non-binary
Email
Country Code
Phone
Is the phone number above connected to WhatsApp?
*
Yes
No
English Level
*
Beginner
Intermediate
Advanced
Are you currently in Penang?
*
Yes
No
What type of lessons do you want?
*
Face-to-Face
On-line
Which days of the week are you available to study. Click all that apply.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
What time of the day most suits you for private lessons? Click all that apply.
Mornings
Afternoons
Evenings
When are you hoping to start studying English?
*
As soon as possible
Within 1 month
More than 1 month from now
Submit
Thanks for contacting myTESOL
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