Student Application Form 2007 - 2008
Name:
Name of University:
Student Number :
Full Address (at which you wish to receive CPD correspondence):
Postcode:
Telephone:
Mobile:
e-mail:
Where did you hear about the CPD Foundation?
Annual Subscription:
£50.00
VAT at 17.5%
£8.75
Total payable
£58.75
Payment Preference
Cheque
I enclose a cheque payable to
Continuing Professional Development Ltd
or
Credit Card
please complete details below (paper form only)
Credit Card Type
Mastercard
Visa
Switch
Solo
Cardholder Name:
(exactly as it appears on the card)
Card No
Start Date
/
Expiry Date
/
Card Issue No
We wish to participate in the CPD Foundation Programme. Please issue me with a passport and forward a receipted VAT invoice.
Signed
Date:
To complete the application
1.
Press the "Print" button to print the form
2.
Sign the printed copy of the form in the space provided and send it along with your credit card details or cheque (payable to Continuing Professional Development Ltd) to CPD Foundation at the above address. For security reasons, we will not be processing credit card payments online. You can also join with a credit card by phone on 020 7828 2099, or fax the form to 020 7828 1967.
3.
Press the "Finish" button to complete the online membership application process. Your membership will be processed on receipt of payment.
© 2006 Continuing Professional Development Ltd,
www.cpdfoundation.com
