| MATHEMATICS |
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.