Phoenix Academy 223 Vincent Street West Perth Western Australia 6005 Email: enquiries@phoenixacademy.com.au Internet: www.phoenixela.com.au ABN: 45 009 405 298 CRICOS PROVIDER CODE: 00066D ACCEPTANCE FORM Name: ____________________________________________________ Course:___________________________________________________ Home Address: ___________________________________________ _____________________________________ Postcode: _________ Contact Address: _________________________________________ _____________________________________ Postcode: _________ Conditions: I accept / do not accept the offer of a place at Phoenix Academy. I accept that this offer may vary subject to my providing any additional information required. In accepting this offer I agree to support the policies and practices of Phoenix Academy. I will arrange payment of all fees as detailed in my invoice by the date specified on the attached invoice. I understand that the offer I have accepted will not be confirmed until my fees have been received by the Phoenix Academy. I understand my enrolment at Phoenix Academy may be forfeited if payment is not received. I understand that my English may be tested on arrival and if not up to an appropriate standard it may be necessary for me to undertake further study a General English Course or English for Academic Purposes (EAP) Course in order to meet university / college entry requirements. Signed: _____________________________ D:\106761704.doc Date: ______________