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Pre-Sessional Payment Form 2012

Student Number*
Title (Mr/Ms/Miss/..)*
Family Name*
First Name*
Email*
Address*
IMPORTANT: YOU MUST FILL IN ALL OF YOUR DETAILS CORRECTLY.
FAILURE TO DO SO COULD RESULT IN YOUR PAYMENT NOT BEING ASSIGNED TO YOUR APPLICATION
Please note: This is a non refundable £645.00 deposit that must be paid before your application is processed.
Applications will not be processed until payment has been received!
Please check carefully that you have entered the correct details and are happy with the information before you click on the Send Form button. You will then be taken to the payment page.

* indicates a required field


Privacy statement	This form is anonymous. No data which personally identifies you is collected on the form, and the data you provide is used solely to help us improve the delivery of our courses.

We accept the following payment methods:

Maestro

Mastercard

Visa Electron

Visa Delta

Solo