
	
	REGISTRATION FORM - First Certificate Trainer Paper 3

	First name:

	Surname:

	Address:


	Telephone:

	Fax:

	e-mail:		
	
	Single user licence (please write/type the number of licences)
	[  ] fully licenced copies of FCT Paper 3 @ DM39,50

	Site licence (please write/type the number of computers)
	[  ]  2-10 computers @ DM33,-- each
	[  ] 11-49 computers @ DM28,50 each
	[  ] 50 +  computers @ DM24,-- each

	PAYMENT DETAILS

	Total Amount:

	Method of payment (please tick or type 'X'):
	DM Eurocheque [  ]
	Bank transfer [  ]


	Send your completed form to:
	Nigel Marsh, StudyWare, Nymphenburger Str. 90
	80636 Mnchen, Germany

	Bank transfers should be made out to:
	Nigel Marsh, Deutsche Bank
	Account 4114054, BLZ (sort code) 70070010