Teacher's Club Subscription form Please fill in all details and we will send you a free Welcome Pack including notification of which type of Pearson Longman Teacher's Club user you are (bronze, silver, gold or platinum) First Name: Title Last Name: E-mail Address: School: School Address: School Postal Code: School City:  School Telephone No.: Country: Programme of study (more selections are possible) The Netherlands Flanders Wallonia VWO ASO Enseignement Général TTO TSO Enseignement Technique HAVO KSO Enseignement Technique Transition VMBO BSO Enseignement Professional MBO OSP                 Other:        Which Pearson Longman material(s) do you use? (New) Snapshot Intelligent Business Energy Market Leader (New) Opportunities Exam Titles (please specify) (New) Cutting Edge Dictionary titles (please specify) Total English  Other Materials:        Type of user more information Secondary education Tertiary education To find out which type of user you are, please complete the following information: How many students use the material(s)? Which year did you start using it/them? How often do you buy new Pearson Longman materials? Every year Every 2 years Every 3 years Other   Who is your supplier? (please include name of supplier plus town/city) We value your comments, opinions and ideas, you are welcome to share these with us using the comment box below: I would be interested in submitting feedback and/or taking part in focus groups* I prefer to receive an newsletter by paper instead of e-mail (by ticking this box you will not receive e-newsletters) Please do not send me promotional material in future. * Focus groups involve small groups of teachers - such as yourself - sharing opinions and comments on new (or existing) publications.   These groups help us to address teachers' needs better. We value your time and effort taking part and would offer compensation for this.