Learn at Lyceum Language Centre

Language Classes in Melbourne

Enrolment Form

If you would prefer to book over the phone, or have any enquiries, we invite you to call us on 9600 1194.

Please choose a class from the timetable, and then select the options below that correlate to that class.

See Timetable for Term 1

See Timetable for Term 2

See Timetable for Term 3

See Timetable for Term 4

Term

:

Language:

	French		German		Italian
	Japanese		Chinese		Spanish
Level	:

Time and Centre (First Preference):

	North Fitzroy Centre		Malvern Centre
	Kew Centre		CBD Centre
Course Day		:
Course Time		:	(hh:mm am/pm)
Start Date of course		:	(dd/mm/yyyy)

Time and Centre (Second Preference):

	North Fitzroy Centre		Malvern Centre
	Kew Centre		CBD Centre
Course Day		:
Course Time		:	(hh:mm am/pm)
Start Date of course		:	(dd/mm/yyyy)

Personal Information:

First Name	:
Surname	:
Address	:
Postcode	:
Email	:
Re-type Email	:
Daytime Phone	:
Evening Phone	:
Mobile	:
How did you hear about Lyceum?	:

Preferred Method of Payment:

Credit Card Online Pay online via PayPal. *You can use your Credit Card without* a PayPal account**, or you can use your paypal account if you have one. This is a secure online payment.
Credit Card by phone If you would prefer not to use your Credit Card online, you can complete your payment by calling our Head Office with your Credit Card details to be processed.
Cheque Payments by cheque can be mailed to our head-office, or delivered personally during business hours.
Cash Payments by cash can be delivered to our head-office during business hours.

Agreement:

I have read and agree to the enrolment terms
I have read and agree to the fees and textbooks
I agree to make my payment for the course at least two weeks prior to the commencement of the course