Name
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Address
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Telephone
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Payment Sent £_____ Cheque No_____________
Cheque/s for £50 first payment to, X-Calibre Ltd please.
To D Mills ATEO 83 Princess St, Chase Terrace, Burntwood, Staffs, WS7 8JN
For office use only
£50 [ ] Enrolment
£100 [ ] two day course
£50 [ ] final assessment
Date of receipt_____________
Registration no_____________
Date manual sent____________
The personal information supplied will be used for contact purpose and not stored in any form to compile to The Data Protection Act 1998.
