Byron Bay English Language School Agent Profile
Company Name:
Company Address: (Postal)
Addr. line 1
Addr. line 2
Addr. line 3
Company Branches:
Contact Name:(Mr / Ms)
Contact's Job Title:
Phone:
Fax:
Email:
Web Address:

Years in Education Consulting Business:
Number of students sent abroad last year?
Number of Students sent to Australia per year:
Main source countries of your students:
Other Australian ELICOS institutions represented:
Your average commission rate (ELICOS institutions only):
Average weekly tuition fees (per week) offered to students (ELICOS only)
General English Part time AUD$
General English Full time AUD$
Services provided to students:
Student's service fee:

How did you find out about BBELS?
Why did you choose to represent BBELS?
Please detail marketing plan for the next 12 months including marketing activities such as exhibitions/fairs, publications/magazines:
REFEREES: (Please provide at least 1 Australian)
Name:        Name:      
Position:    Position:  
Address:   Address:
Fax:            Fax:          
Phone:       Phone:   


DECLARATION: I am interested in representing Byron Bay English Language School and I agree to do so in an honest and professional manner.
Name:        Date:        


BBELS is very interested in forming new business relationships and we thank you for your time in completing this form. We will contact you shortly.