Zip/Post Code: __________________ TEL.NO: (inc code) _______________________
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: ...
Last 3 digits on signing strip:
Issue Number (Maestro)
I wish to pay: *£60 for registration (or Non-UK equivalent)
which includes a set of runes
I wish to pay: *£25 for registration (or Non-UK equivalent)
without a set of runes
I wish to pay: *£45 (or Non-UK equivalent)
for Module 1
I wish to pay: *£420 for registration, a set of runes and modules 1-8 (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 2-8
costs £45 each.
Sterling Cheques made payable to MCS please
or send funds via PayPal to email@example.com
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)
Please return to: MCS, PO Box 6, Exminster, Exeter, Devon, UK EX6 8YE,
Tel: +44 (0) 1392 832005
© 2012 MCS