| Application for Enrolment | |
Contact Details
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| Surname Mr/Mrs/Miss/Ms (please delete as applicable) | ||||
| First names | ||||
| Full postal address | ||||
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| Please tick the course you require | |||||||||||||||||||||||||||||||
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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
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.
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
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This card is registered at the following address (if different from the address for correspondence given above)
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Please insert the last three digits which will be found on the signature strip on the reverse side of your card ......................
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