AS Courses ~ Enrolment
Either print out the form below or download
il_enrol_as.doc
(26K), a Word document which can be typed into directly. (If the form does not print on one sheet, try printing out at 95%). If you would like to pay by credit card, please print out and complete a credit card authorisation form (30K).
Name: (Miss/Mrs/Ms/Mr/Dr)
Date of Birth:
E-mail address:
Postal address:
Telephone numbers:
Day:
Evening:
Mobile number:
| Interest in Classics/Latin: |
Previous experience of Classics/Latin:
Reason for joining the AS Course:
How did you find out about this Course?
Please select your modules:
L1 L2 CC2 CC3 (Please delete as appropriate.)
I expect to enter the examination in summer 2010 / 2011 / not at all. (Please delete as appropriate.)
I understand that it is my responsibility to enter myself for the examination via an examination centre (should I wish to be examined).
I wish to be enrolled for tuition in the AS Latin / AS Classical Civilisation / AS Classics Course. (Please delete as appropriate.)
I enclose a cheque or credit card authorisation for £600.00 Sterling (for two modules) or £350.00 Sterling (for one module). (Cheques should be made payable to the "University of Cambridge". Payment can be made in other currencies too - please contact the IL manager for the correct amount.) I understand that my fees will not be refunded if I withdraw from the course early.
Signature:
Date:
Please complete this form and return it, together with your cheque or completed credit card authorisation form to: Independent Learners Manager, CSCP, Faculty of Classics, Sidgwick Site, Cambridge, CB3 9DA, UK.
If you have any queries, please contact Elizabeth Howell, the Independent Learners Manager on 01223 330579 (+44 1223 330579 outside UK) or
email.
|  | 
|
