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ENROLMENT FORM

PERSONAL INFORMATION

Name(Required)

Full Legal Name

Please enter your legal name. This will be used for your certificates upon completion.

Address(Required)

Street Address Town/City County/Province/Region Postcode Country

Phone Number(Required)

Email(Required)

Date of Birth(Required)

Required for NCFE registration

DD

MM

YYYY

COURSE INFORMATION

Select the course you would like to enrol on:(Required)

Would you like to add Teeline Shorthand? This is discounted from £350 to £225 when enrolling at the same time as your main course.(Required)

Yes please

No thank you

Start Dates still with availability(Required)

Which type of computer will you be using for the course?(Required)

Windows PC

MAC

As part of our careers advice role, please provide details of your career so far and future career plans.(Required)

Course Fees

How are you paying for your course(Required)

Employer Paying

CLICK HERE TO READ MORE INFORMATION ABOUT PAYMENT OPTIONS ...... Lewis College - Payment Options

Name of person who has approved course(Required)

Name

Please provide their email addrress

Email address

Please provide the name and address of the organisation funding the course:

Organisation Name

(Required)

Street Address Town/City County/Province/Region Postcode/ZIP Country

Email address to send invoice(Required)

This should be a separate business email address to the Accounts Department. Any relevant discount will be applied to the invoice.

Payment Options(Required)

PAY IN FULL - Complete the course as quickly as you wish + textbooks included

PLEASE READ THIS INFORMATION

You can click on the links below to open and download both documents.

Lewis College - Terms & Conditions

Lewis College - Privacy Policy

Where have you seen us? (You can select more than one option)(Required)

LinkedIn

Facebook

Recommendation

Internet Search

Instagram

Other

Other - Please specify(Required)

Confirmation(Required)

I confirm I have read and understood the Terms & Conditions above. I consent to the use of my personal information as detailed in the Lewis College Privacy Policy

SIGNATURE(Required)

I confirm I would like to enrol on this course as detailed above. (Please type your name).

Date(Required)

DD slash MM slash YYYY

Payment options: pay by Klarna, PayPal, Debit/Credit Card and monthly instalments.

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