Registration Form

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

Payment:(Exchange rates will vary)
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:
£90 for the weekend

The days are worth 10 CPD Points

Please sign at the bottom of this form to confirm the amount MCS can process by card.


Sterling 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 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
© 2012 MCS