Distance Learning Course Enrolment Form

Full Name :

Address :

  

 

Phone (inc. std) :

Email :

Title of Course you wish to study :

Current Involvement in Animals :

 

 

Previous Experience/Qualifications in Animals

 

 

Any Other Information You Think We Should Know :

 

 

What do you hope to achieve from this course? :

 

 

Payment can be a Stirling cheque for the full amount   Sorry we cannot accept credit or debit cards.

Fee Enclosed : £

Date :

Signature :

 

Please send the fee and the completed enrolment form to: Rainbow, PO Box 1044, Haxey, Doncaster. DN9 2JL.Cheques/PO made out to 'RAINBOW' please.  Please do not send cash through the post.