Registration Form

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

Please supply your birth data so that a chart can be provided.

1. Date of Birth;
2. Place of Birth
3. Time of Birth

If only an approximate birth time is known, please state.
Charts where the time is unknown are drawn up for noon or dawn on the birth date.

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: £50 for registration and Module 1
(or equivalent for Non-UK)
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’

Module 2 will be released only on completion of Module 1.
Each module 2-12 costs £25 (or Non-UK equivalent)

You need to complete nine modules to gain the certificate.

Booking Terms and Conditions explained in the accompanying easy-to-download page, please read them.

Signature___________________________________ Name (please print)

Date:
Please return to: MCS, PO Box 6, Exminster, Exeter, Devon, UK EX6 8YE, Tel: +44 (0) 1392 832005
or email name and birth details.

© 2013 MCS