Dolphin English
Application Form
for Japanese click here
Copy and Paste this page in your email or fax to Dolphin English +61-8-9529-1785
Name: _________________________ Birthday: ___/____/______
Home Address: _______________________ Ph: ___________________
_____________________________________Fax: ____________________
Perth Airport Pick-Up $85 (One Way) Membership Fee $100
Air Line: Flight Number: Arrival Time:
Arrival/Start Date: Tour A $935 Tour B $1770 Tour C $3440 Surfing $690 Skydiving $995 Scuba diving $1225 Fishing 1 week $525 2 weeks $750 Golf budget $395 Economy $785 Luxury $1890Type of payment From Japan:
Type of Payment when arrived in Australia
Visa T/C Cash paypal
English Lesson (9:30 or 1:00) |
Home Stay (For Members) |
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2 weeks |
$360 |
2 weeks |
$380 |
||
3 weeks |
$540 |
3 weeks |
$570 |
||
4 weeks |
$720 |
4 weeks |
$780 |
||
5 weeks |
$900 |
5 weeks |
$950 |
||
6 weeks |
$1,080 |
6 weeks |
$1,140 |
||
7 weeks |
$1,260 |
7 weeks |
$1,330 |
||
8 weeks |
$1,440 |
8 weeks |
$1,520 |
||
9 weeks |
$1,620 |
9 weeks |
$1,710 |
||
10 weeks |
$1,800 |
10 weeks |
$1,900 |
||
11 weeks |
$1,980 |
11 weeks |
$2,090 |
||
12 weeks |
$2,160 |
12 weeks |
$2,280 |
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Enrolment fee $100
Amount $ _____________
A.B.N 65 664 717 383 G.S.T (tax) 10%
Total Amount $
Telephone : +61 403-261-742 FAX : +61 8 9529-1785 ('+61' is a country code of Australia )
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