Registration Form

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

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

This course takes you to Diploma level at the end of seven modules of study.
Diploma modules cost £55 each.

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: *£80 for registration and Module 1
or *£430 for registration and Modules 1-7 (or equivalent for Non-UK)
or *£355 without A&P (Module 5)
* 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 send funds via PayPal to ‘info@mcscourses.co.uk’

Module 2 will be released only on completion of Module 1. If you decide to pay-as-you-go, each Foundation module 2-4,6,7 costs £50, Module 5 costs £75 (or Non-UK equivalent)

The Student Handbook is available as a download alongside this form. This gives you more information about the course.

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/Fax: +44 (0) 1392 832005
© 2010 MCS