(Please print off or hand write/copy this form)

Fill out the parts applicable to your course enrolment/order.

Course Title/s ______________________________________________________

__________________________________________________________________

How many items/courses are being ordered?#____________________________

I am paying in full for the course. Total fee enclosed £______________________

Instalments are not available

All orders will be despatched upon cheque clearance.
Please make Cheques/Postal Orders or Registered Cash
payable to Open College UK Ltd and send to our postal address below.

Registered Cash payments ensure a faster (24 to 48 hour) course despatch.

PLEASE WRITE CLEARLY & IN CAPITALS

Your Name ____________________________________________________________

Occupation ____________________________________________________________

Please Note: The postal address you provide on this form will be the address that all
correspondence will be sent to. Any change of address at a later date must be put in writing.

Postal Home Address ____________________________________________________

______________________________________________________________________

Post Code _________________________Telephone ___________________________

Mobile ___________________________ Work ________________________________

DOB ___________________________________

How did you find out about us? ________________________________

The name you want printed on your Diploma & Membership Certificates

Name ____________________________________________________________

PLEASE WRITE EMAIL ADDRESS CLEARLY

Email address _________________________@__________________________

Website http://www _________________________________________________

Terms & Conditions

Signed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date . . . . . . . . . . . . . . . . . Ref: OCM1 N1406

I fully understand, agree & sign to the Open College UK Ltd Disclaimer/Terms & Conditions & Privacy Policy which I have fully read as displayed on the Open College website. I understand that all of the Open College UK Ltd course/s are devised in their entirety as complete home study courses within the UK only. (Not Overseas). Any disputes about 'anything' relating to the course/s shall be referred to by another professional association concerned with the said course/s whose decision will be final and binding on both student & course provider. I understand the Open College UK Ltd reserves the right to refuse to accept/decline any applications for enrolment even after acceptance within the valid period at its discretion without offering any disclosure of reasons. I understand that all unpaid cheques (bounced cheques carry a £15 bank & admin charge). I understand that all courses enrolled onto are valid for one year only (strict) and must be completed within this fixed time period without any extension periods being granted. All course test papers/folder must be submitted in one complete submission only through the post (not individually sent) anytime within the valid one-year enrolment period. Any test papers/folder submitted after one year will expire. This I fully understand. In the light of course content improvements the Open College reserves the right (in very rare cases & only when it is essential) to alter and change all course fees & course contents as and when necessary without giving any prior notice.


Comments____________________________________________________

_____________________________________________________________

_____________________________________________________________

To order any course you can call the College for an order form or prospectus to be sent to you or simply print this page off and return it with a cheque or postal order or recorded cash to the College address below. (Please Note: This application form must be posted to us and not sent by email or fax). We will send you a confirmation letter through the post the same day. Your course enrolment/order will be processed promptly.

Registered Cash payments ensure a faster course despatch.

All cheques made payable to Open College UK Ltd and sent to:
Open College, 71 Thurlestone Rd, Office 2, Longbridge, Birmingham. B31 4LP

Telephone Number: 0121 680 0141 / 24hrs Answer

Mobile Number: 07796658169

Your course material and welcome pack will be sent to you (recorded delivery) in a matter of days upon cheque clearance.

Please check that all your contact details above are clear enough to read and that you have included the correct course fees.

Thankyou for your enrolment.

Copyright c 2003 - 2008 Open College UK Ltd
Duplication is prohibited
All Rights Reserved
Ref: OCM1 N1306