ACCA course booking form

You can also book online. Please visit www.bpp.com/mybpp

PersonAl DetAils
Title Forename Surname Address for correspondence/delivery Town/City Email Signature* Daytime tel. Tick to receive joining instructions & submission timetable by email (sent as a pdf file)
Do you have any special needs/disability that may affect you in the event of a building evacuation whilst you are on BPP premises? (Please delete as applicable) Yes / No If yes please arrive for the start of the first day of your course 15 minutes early to allow for the local site Health & Safety Officer to complete the necessary evacuation procedure and assessments with you.

FOr COurses OuTside LOndOn

December 2011 exams

AuthorisAtion to invoiCe emPloyer

ACCA registration no. Customer no.
(if available)

DoB

DD MM Y Y Y Y

Company name Company billing address Postcode Authorising manager Job title Daytime tel. Email Employer to be notified of exam results and absences from courses PO number Signature*
(if required)

Postcode

Payment terms: 30 days Accounts payable: Tel. Email

ClAssroom Courses Course type (w/day, evening etc.)

1. 2. 3. 4. 5. 6.

location

sitting

subject (e.g. F4 CL)

start date

Price () incl. VAT

DistAnCe leArning Courses Course type (Basics, Basics Plus, Basics Online)
1. 2. 3.

sitting

subject (e.g. F4 CL)

Price () incl. VAT

Postage for Basics/Basics Plus: 10 per paper

PostAge totAl ()

PostAge for stuDy mAteriAls required in advance of the course start date uK postage rates^ Postage () material type subjects required (e.g. F4 CL etc.)
Study Text Practice & Revision Kit Passcard BPP i-Pass KEY 5 first item 4 each extra 3 first item 1 each extra

* By signing this form you are agreeing to our Terms & Conditions as stated on our website. The Terms & Conditions explain in detail your relationship with BPP Professional Education and BPP Learning Media. For terms and conditions in respect of all of BPPs products, courses and services, please go to our website at www.bpp.com/terms--conditions.aspx ^ for postage of non-UK items please contact us for details. Delivery takes up to five working days from receipt and requires a signature upon receipt.

grAnD totAl ()

PAyment (if not sponsored by employer)

BY CHEqUE cheque enclosed Mastercard Please make cheques payable to BPPProfessional Education. Switch Issue no. Solo GRAND TOTAL () Cardholders signature Expires end Date
3-digit security code found at the back of your card

suBmitting your BooKing form

There are three ways you can submit your form: 1. Email: service@bpp.com 2. Fax: 3. Mail: 0161 237 9650 BPP Professional Education ACCA Bookings Boulton House Chorlton Street Manchester M1 3HY NB: PLEASE DO NOT post it to your study centre Issue no.

BY CARD VISA Cardholders name Cardholders address

(if different from above)

Postcode Card number Valid from

CV2 No.