Location: TP TC KS HS
Nickname: *必填
Last_name:
First_name:
Last_name_en:
First_name_en:
Proxy_contact:
Line_id: *必填 (如沒有請填 N/A)
Fb_id:
Tel: *必填
Email: *必填
Email2: e.g. 123@abc.com
生日: *必填
Occupation:
City:
Type: --------- ESL COOP STUDY CAMP DIPLOMA WORK 報名座談會 (場次日期請填入諮詢需求裡) OTHER *必填
Budget: --------- budget_range_1 budget_range_2 budget_range_3 budget_range_4 *必填
Budget_source: PERSONAL FAMILY LOAN OTHER
Target_country: CANADA US UK IRELAND PHILIPPINE AUSTRALIA OTHER
Target_city: Undecided Vancouver Surrey Whistler Victoria Calgary Toronto Ottawa Montreal Quebec PEI Boston NY LA SF GoldCoast Dublin Cebu OTHER
Target_city_unlisted:
Target_length: --------- target_length_1 target_length_2 target_length_3 target_length_4 target_length_5 OTHER *必填
Known_method: --------- FAMILY_FRIEND_RECOMMEND NET_SEARCH NET_RECOMMEND FB_FAN_PAGE FB_GROUP DCARD PAPER_DM SCHOOL_SHOW JULIANNE_TALK WALK_IN OFFICIAL_LINE OTHER *必填
Content_inquiry: