Pearson Longman Kids E-Link

Valid for residents in Japan only.　All sections must be completed in order to process your request.

Title of the book(s)
Level
How many copies do you plan to use?

Name

Mr. Ms. Dr. Prof.

(First)
(Family)

Zip code

Mailing address

Home School

Phone number

ex. 03-5929-6090

Email address

（Re-enter Email address）

School/Institution

Please write "home" if you teach at home.

Type(s) of school
(multiple answers allowed)

Textbook(s) you are currently using

Number of students (age: up to 12yrs old)

0 1-20 21-50 51-100
101-200 201-500 500+

Number of students (age: above 13yrs old)

0 1-20 21-50 51-100
101-200 201-500 500+

Would you like to receive:

Kids E-Link (email magazine)
　Yes 　No
Information about upcoming workshops
　Yes 　No
Information about new materials
　Yes 　No

Please note that we may be unable to send samples in certain cases.