The S.E.E.D. Institute

Enrolment Form Distance-learning Courses

Fill in this form, print it out, sign and date it and send it with the indicated fee to the address below.

Name of student:
Address:
Contact: Tel:
Fax:
Email:
Qualifications:
Name of Course:
Please enter the name of the Course.........................
Fee: Refer to Distance Learning Course page for current fee £.....................

Terms & Conditions

A separate booking form must be completed for each student.

Completed booking forms must be sent with the fee (payable to 'Alison Perrott') to the following address:

The S.E.E.D. Institute
'Breakwater', Biggar Village, Walney
Barrow-in-Furness, Cumbria
LA14 3YG
ENGLAND

The fee is non-returnable and non-transferable.

It is ESSENTIAL that Applicants from countries where English is not the first language have a good, working knowledge of the English language.

You will receive your Course-notes within 2 weeks of us receiving your application. If you have not heard from us by then, please check with us that we have received your enrolment Form.

Please list any Professional Therapy Associations that you belong to:

...........................................................................................

How did you hear about this course?___________________________

Signed........................

Date:................