MINDWORKS TECHNOLOGIES - making changes matter

COURSE CONFIRMATION

Name: (Mr./Miss/Mrs./Ms)	________________________________________________
Date Of Birth:	________________________________________________
Address:	________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ Postcode________________________________________

Telephone (home/work/mobile)	________________________________________________
Email Address:	________________________________________________

Course Chosen:	________________________________________________
Course Fee:	________________________________________________
Deposit Required/Received:	________________________________________________
Course Venue:
Course Start Date:	________________________________________________
Course Duration:	________________________________________________
Course Finish Date:	________________________________________________

Any balances must be paid at least 3 weeks prior to course commencement.

Cheques made payable to Mindworks Technologies and send to the address below.

Mindworks Technologies
The Studio, Lifford Lane, Stirchley, Birmingham B30 5DZ ,

07870611850

SAS SURVIVAL a division of

Mindworks Technologies, The Studio, Lifford Lane, Stirchley, Birmingham B30 5DZ ,
Tel : 07870611850