Please print, complete, sign and return with your payment to M & M Training Limited, 36 The Hedges, St. Georges, Weston-super-Mare, North Somerset BS22 7BU

Candidate’s full name and date of birth: (required for CPC examination entry)

  

  

 

Candidate’s full address and telephone number(s):

 

  

Candidate’s email address: (mandatory for email supported courses)

   

Course(s) required: (enter Unit/s 1, 2, 4 or 6 and type e.g. 1,2 & 4 basic homestudy)

Study start date required: (enter ASAP or preferred start date.)

 

CPC units(s) exam entry required: (enter 1, 2, 4 or 6 or ‘None’)

   

Required examination date/s: (enter March, June, Sept or Dec)

Course Fee Enclosed: (please make cheques payable to M & M Training Limited)

  

Existing CPC qualifications held: (include date obtained and candidate, centre and certificate number, where known - shown on your certificate)

  

 

Comments

  

 

Candidates postal address for course correspondence: (if different from above)

  

 

Please send invoice to: (enter 'not required',  ‘candidate’ or, if different,  the  name, position, organisation  and address (preferably email) of the person requiring the invoice)

   

 

I have read your CPC terms and conditions and agree to them.  Signature (please add name & position if other than candidate)

 

Booking Date

  

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