Cambridge Law Studio - Enrollment Form

Enrollment Form

Family Name*:

First Name*:

Nationality*:

D.O.B*:

Sex*:
MaleFemale

First Language*:

Home Address*:

Email Address*:

Tel (Home)*:

Tel (Work):

Fax:

Please enrol me on the following course*:

Course Details

Please arrange the following accommodation*:
College Residence in Girton College, University of Cambridge (includes breakfast) - £36 per night. (This option is available from July to September)
Host family (includes breakfast and evening meal) - £140 per week
Please send me details of Hotel and Bed and Breakfast accommodation
I will arrange my own accommodation

Accommodation

Do you have any allergies?*:
No
Yes

Do you have any special dietary needs?*:
No
Yes

Do you have any special medical conditions we should know about?*:
No
Yes

If yes, we will contact you.

If you require a taxi service from the airport, please supply the following details: airport and flight number, arrival date and arrival time. Approximate cost in UK currency: London Heathrow £106, London Gatwick £126, London Stansted £54:

Arrival Transfers

Payment Option*:
Bank Transfer
Credit Card

Payment of £275 Deposit

Card Type:

Card Number:

Expiry Date:

Security Number:

The last 3 digits on the back of your card

Full Billing Address for Credit Card:

Cardholder's Name:

Important - Please note that we will destroy these details when we have taken payment Format: MM/YY

Verification*:

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