Registration Form

NAME:_______________________________________________________________
ADDRESS:____________________________________________________________
_____________________________________________________________________
Post Code: __________________ TEL.NO: (inc code) _______________________
Email: _____________________________

Payment:
Payment by Visa/MasterCard/Maestro
Name on card: .............................
Card Number: ...../...../...../.....
Expiry date: ...../.....
Last 3 digits on signing strip:.....
Issue Number (Maestro).....

I wish to pay: £45 for 22 April 2012


Cheques made payable to ‘MCS’ please
or send funds via PayPal to ‘info@mcscourses.co.uk’
or pay at our secure online shop: www.greenmanshop.co.uk

I confirm that I have read and understood the Booking Terms and Conditionsand agree to them.
Signature___________________________________ Name (please print)
Date:
Please return to: MCS, PO Box 6, Exminster, Exeter, Devon, UK EX6 8YE, Tel: +44 (0) 1392 832005
© 2012 MCS