Name : Surname : Address : Telephone Number : FAX : Mobile Phone Number : e-mail : Start Date :8/9/2008 1. Are you____________? A. Beginner B. Intermediate C. Advance 2. Do you want to study____________? A. Speaking B. Reading & Writing C. News & Publishing 3. Do you want to study as_____________? A. Private B. Group person (s) 4. Do you available to study_____________? A. Your residence B. Your company C. Our office 5. How you know PK Top Thai Language Tuition____________? A. Newspaper B. Magazine C. Through friend D. Website E. Brochure