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

I wish to pay: *£65 for registration and Module 1(or Non-UK equivalent)
Module 2 will be released only on completion of Module 1. If you decide to pay-as-you-go, each module 2-4 costs £40 each.

Sterling Cheques made payable to ‘MCS’ please
or send funds via PayPal to ‘mcs@greenmantrees.demon.co.uk’
and email MCS your address and other details for this form.

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