Registration Form

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

If you wish to attach a Curriculum Vitae, then please do so.

Payment:(Exchange rates will vary)

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

I wish to pay: *£75 for registration and Module A
or *£515 for registration and Modules A-L (or equivalent for Non-UK)
or *£635 for registration and Modules A-M (or equivalent for Non-UK)
* Please delete as appropriate and sign at the bottom of this form to confirm the amount MCS can process by card.


Sterling Cheques made payable to ‘MCS’ please
or pay securely online at our shop: www.greenmanshop.co.uk
or send funds via PayPal to ‘mcs@greenmantrees.demon.co.uk’ and email MCS your address and other details for this form.


Module B will be released only on completion of Module A. If you decide to pay-as-you-go, each module B-L costs £40 (or Non-UK equivalent)
Module M, costs £120 (M is a manual and CDROM)

I confirm that I have read and understood the Booking Terms and Conditions explained in the accompanying sheet and 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
© 2010 MCS