PART-TIME DRAMA COURSE REGISTRATION FORM

Please fill in CAPITAL LETTERS__________________________________________________________* Delete where necessary

Surname (Mr Mrs. Ms.)  *

First Name:                                      

Date of birth:

Nationality:

Mother  tongue:                                                               

Address :

Post code:                   

Country:                                                 

E-mail::

Tel:             

Fax:
Mobile:          
Course Title
Course Ref.
From
(day / month / year)
term
Hours p .week
Cost
 

 

      

£
 

 

      

£
Total

£
* Less non-refundable deposit on Registration    -   £ 100 *
Total remaining balance (payable 6 weeks prior to arrival full-time courses or 15 days for part-time courses)

£

* I am enclosing a non-refundable deposit of £100 to secure my place and will pay the balance owed to you at least * 6 weeks/ 15 days before the start of my course by cheque / Direct Bank Transfer *, or I am enclosing a cheque / making a Direct Bank Transfer * for the total balance of my Tuition. *Delete where necessary

I have read and accept the conditions of enrolment and.agree to abide by the terms and regulations of LONDON DRAMA SCHOOL - STAR TEK associates

SIGNATURE:.........................................................................................DATE:.............................................................
(of parent / guardian if under 18)

- Make all cheques in UK £ only, payable to: "LONDON DRAMA SCHOOL", and send to:
LONDON DRAMA SCHOOL, 30 Brondesbury Park, LONDON NW6 7DN, UK

- Pay by direct bank transfer to:

Account's Name: LONDON DRAMA SCHOOL
Account No: 01234650
Bank Sorting Code: 30-99-64;
IBAN: GB13loyd30996401234650,
Swiftcode: LoyDGB2L

LLOYDS - TSB Bank, - Willesden Green Branch, 1 Walm Lane, LONDON NW2 5SN. UK

For Office Use Only

REGISTRATION N0
    

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