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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: ---------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------- 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): ----------------------------------------------------------------------------------------------------------- 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 |