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: *£60 for registration (or Non-UK equivalent) which includes a set of runes
or
I wish to pay: *£25 for registration (or Non-UK equivalent) without a set of runes
and
I wish to pay: *£45 (or Non-UK equivalent) for Module 1
OR
I wish to pay: *£410 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 ‘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