Application for Enrolment
  
 

Contact Details

 

 Surname Mr/Mrs/Miss/Ms (please delete as applicable)
 
 First names
 
 Full postal address
 
 
PostcodeTelephoneEmail
 

 


Course Details

 

 Please tick the course you require
 
ICC Theory NMCS Coastal Cruising
RYA Basic Navigation NMCS Ocean Cruising
RYA Day Skipper   Instrument Pack A
RYA/MCA Coastal Skipper/Yachtmaster
Instrument Pack B
RYA/MCA Yachtmaster Ocean
  
 
 

 

 

 


CD Version

 

 
Overseas Students

For overseas students the above courses are provided on CD.
Students can view the course on-screen or have the option to print out the study Modules.


 


Payment Details

 

 

I would like to pay (please complete A or B according to the method by which you wish to pay)

 

A The course fee of £ ................................ in full

I have enclosed a cheque 
Please debit my credit/debit card

B The course fee in instalments

I enclose the enrolment deposit of £ ................................ and agree to pay ................

future instalments of £ ................................ at monthly intervals commencing one month

from the date of registration.

I have enclosed a cheque 
Please debit my credit/debit card

Instalments may be paid by banker's order or credit card. Details of instalment payment are sent with your initial study material Please make cheques payable to the National Marine Correspondence School. If you are paying by credit/debit card, please enter your card details

 

SignedDate



 

Access/MasterCard/Barclaycard/Visa/Eurocard/Maestro/Delta/Solo Card no.


 
Valid from
Expiry date 
Switch issue no.

 

 

This card is registered at the following address (if different from the address for correspondence given above)

 

 

Please insert the last three digits which will be found on the signature strip on the reverse side of your card

......................