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Evening and weekend courses enrolment form 2010/11

Enrol now using this secure enrolment form. For your protection, we have installed the online payment verification process recommended by your bank or card provider (eg. MasterCard SecureCode). Your payment will not be authorised without this verification.

PLEASE NOTE: VISA DEBIT CARD USERS

If you receive an error message when you try to pay, please select 'Delta' from the list and try again. If your payment still doesn't go through, please call us on 020 7040 8237/8865; for Translation courses call us on 020 70408266 between 09:30 and 17:00 or email translation@city.ac.uk.

Alternatively, you may enrol by posting a printed version of the enrolment form. Send your completed enrolment form, together with your cheque or credit/debit card information, to: Evening and weekend courses, City University, Northampton Square, London EC1V 0HB.

Business, Computing courses: 020 7040 8865

Languages, Writing, Creative Industries courses: 020 7040 8237

Translation courses: 020 7040 8266

Fields marked with a * are required.

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Section 1: CONTACT DETAILS




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Section 2: PERSONAL INFORMATION
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Section 3: HOW YOU HEARD ABOUT CITY


Section 4: COURSE DETAILS
Course Title Course Code Start Date Course Fee
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For TRANSLATION COURSES only:


Section 5: Accreditation



If you are ready to send your enrolment to Courses for Adults, please indicate your agreement to the following statement:

"I hereby agree to abide by the rules and regulations of the University, including the refund policy. I agree to the University processing personal data contained in this form, or other data which the University may obtain from me or other people whilst I am a student, for purposes connected with my studies, my health and safety or any other legitimate reasons. I confirm that I have read, and agree to, the Terms and Conditions of enrolment."