Swift Changes PGPE - Social Panorama Booking Form

The Social Panorama

Social Panorama Booking Form

I am definitely interested in your Social Panorama course and wish to enrol.

To this effect, I enclose my remittance made payable to PGPE, amounting to £295/£345. (Please circle the appropriate figure)

CREDIT / DEBIT CARD DETAILS

PAYMENT AND BOOKINGS CAN ALSO BE MADE OVER THE TELEPHONE

Name on Card: ……………………………………	Number: ……………………………………………
Expiry Date: ……………	Safety Code (last 3 digits at the back): ……
Switch & Delta only: Start Date:…….	Issue#:…..

Please return this form to:

PGPE, PO BOX 506, HALIFAX, HX1 5UF, UK Fax: +044 (0) 1422 343165

Or call us at Telephone: +044 (0) 7939 623054 to book over the telephone

e-mail: Optimise_with_PGPE@outcome.demon.co.uk

website: www.swiftchanges.com