Sherborne International College

EASTER GCSE AND LANGUAGE COURSES
REGISTRATION FORM

I/we apply for a place on the Course for:
Student's family name:
First names:
Dates of student enrolment:
Gender:		Date of Birth:
Nationality:
Present School:
House/Form:
Contact Address:

GCSE subject choices for Revision Course only.

Week One 1. 2. Week Two 3. 4.	3. 4. Examination Board(s) (if known):
Level of English:
Contact email address:

NOTES:

1. Confirmation of this registration from parents or guardians together with a deposit of £150 will be required.

2. Payment may be made by:

a) Cheque payable to International College, Sherborne School

b) Bankers draft to Lloyds Bank, 75 Cheap Street, Sherborne, Dorset DT9 3BD to credit of 'Sherborne School' account number 01884627 Sort Code 30 99 98 GIVING THE NAME OF THE STUDENT
IBAN No: GB12_LOYD_3099 9801 8846 27. SWIFT No: LOYDGB2L. BIC No: LOYDGB 21208.

c) Recognised Credit or Charge Card. (Visa Mastercard AMEX)*

3. The fee must be received by the College in full by 1st March 2007. (The reservation will automatically be cancelled in the event of non-payment by the due date.)

* Please note that an administration charge of 4% will be added to all Credit Card payments.

Please send the fee to:

Director of Intensive Courses
International College, Sherborne School,
Newell Grange
Sherborne, Dorset DT9 4EZ.

Tel: (UK) 01935 814743 (International) 44 1935 814743
Fax: (UK) 01935 816863 (International) 44 1935 816863

Email: registrar@sherborne-ic.net

International College, Sherborne, Dorset, DT9 4EZ Tel: +44 1935 814743 Fax: +44 1935 816863
Principal: Dr. C. Greenfield. M.A. , M.Ed.
The International College is owned by Sherborne School, registered office Abbey Road, Sherborne, Dorset, UK (Tel +44 1935 810501).