Application Form

Please complete this form, print it out, and post it to

 Fiveways House, 1 Goodwood Road, Worthing, West Sussex , BN13 2RU

 

Name: --------------------------------------------------------------------------------------------------

Telephone Number: ------------------------------------------------------------------------------

Address: ----------------------------------------------------------------------------------------------

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Post Code: ------------------------------------------------------------------------------------------

E-Mail Address: -----------------------------------------------------------------------------------

Please state which course you wish to enrol on:

Plumbing Course/Central Heating Course (delete as appropriate)

 Preffered Starting Date (Each week commencing on a Monday):

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A deposit of £100 will be required upon booking and the balance of £1,550 will be payable on the starting date of the course.

 

Signed:

Name:

Date:

 

Please make cheques payable to 1-4-you