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Company name (optional)

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Street address *

Apartment, suite, unit, etc. (optional)

Town / City *

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Additional information

Personal Information

Student First Name *

Student Second Name *

Student Email Address *

Student Date of Birth *

Student Nationality *

Student's Prefered Pronouns *

Student School *

Student Intended Year of University Entry *

Parent/Guardian Name *

Parent/Guardian Email *

Parent/Gradian Phone Number (optional)

Core Information

Which subject would the student like to study at university? *

What universities does the student plan on applying to? *

If you are booking Admissions Test support, which test do you need to prepare for? (optional)

If you are booking Personal Statement Support, at what stage of preparation are you at now? (optional)

How did you hear about Leading Education? *

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Your order

Product	Subtotal
Personal Statement (5 hours)- 3 Month Payment × 1	£158 / month for 3 months and a £1 sign-up fee
Subtotal	£159
Total	£159
Recurring totals
Subtotal	£158 / month for 3 months
Shipping	Shipping costs will be calculated once you have provided your address.
Recurring total	£158 / month for 3 months First renewal: June 16, 2024

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