Journalism postgraduate course enrolment form

Postgraduate Diploma Attendance Course Enrolment Form

(For the Online course and enrolment form go here)

Please complete the details on this form, type direct into the boxes and print it using the print command on your browser. Fax or post to the address above.

Please choose the course you wish to take:

21 April 2008	3 month course	£2955.00
15 September 2008	9 month evening course	£3360.00
22 September 2008	3 month course	£2955.00
	6 month course	£3240.00

Course fees includes all tuition and text books but not the cost of any accommodation
Name and details of Student:
Family Name:
First Name:
Title:	Other title:
Date of Birth:
Occupation:
Address detail

County/State:
Postal/Zip Code:
Country:
Email Address:
Telephone No:
Please help us by supplying the following information:
Purpose of taking this course:

Have you had work published previously?

How did you hear about the school?

Please enrol me on the above course in accordance with the LSJ standard terms and conditions. Payment of fees will be made as follows:
	I enclose a cheque or draft for the course fee in full payment
	I enclose a cheque of Ł1200.00 as a deposit and will pay the balance not less than fourteen days before the course start date
	I enclose a cheque or draft for Ł1200.00 and wish to pay the balance by installments over the period of my course. (The balance is due by 3, 6 or 8 installments, payable monthly.)
	Please charge my credit card with full payment now.
	Charge the deposit of Ł1200.00 to my card now and charge the balance fourteen days before the course start date.
	Charge the initial fee of Ł1200.00 to my card now and charge the balance to my card by 3, 6 or 8 installments payable monthly during the course.
Installments by course (monthly):	3 month course: 3 of Ł585.00, 6 month course: 6 of Ł340.00 9 month course: 8 of £270.00
Card type:
Card number:
Expiry date (month/year):	/
Security Code (Last 3 digits printed on signature strip):

If the cardholder is not the student, please give full name and address of the cardholder as shown on the relevant credit card statement:

Signed: