MATHEMATICS

Course Application Form

Prices

This form should be printed, filled in then posted to:

BASS INSET Administration, Martineau Education Centre, Balden Road,
Harborne, Birmingham B32 2EH
Tel: 0121 428 1178 Fax: 0121 428 1196

Person Attending:........................................

School:..................................................

Address:.................................................

Tel. No.:......................Fax No.:..................

Course Code:...................Course Title:.............

.........................................................

Date of Course:............Venue:.............Times:.....

COST AND METHOD OF PAYMENT:

Credits:   (Birmingham Schools only)
Cash £
  if cash please attach cheque/Official Order or provide: (Birmingham Schools only)
Cost Code: A__B__C__D__E___ SIMS Order No:. E........................................

Authorised Signature:....................................

Position:............................Date:...............

Are there any arrangements we can make that may assist you when attending ? e.g. access, diet etc.


Mathematics in Birmingham