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Register for Chosen children





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If you have any problems processing this form, contact us at admin@progress.org.uk

To register for Chosen children, complete this form and click 'process form'. Print out the resulting form and send it to Progress Educational Trust. Please enclose payment if you have not indicated that you would like to be invoiced. The fields marked with an asterisk (*) are optional.

 

I would like to register at the following rate (please select as appropriate):

 

 

Standard £100.00

Friends £50.00

Students £30.00

 
 

Personal details


 

Title 

 

Forename 

 

Surname 

 

Email 

 
 

Contact details


 

Institution 

 *  

Address 

 

 

 

 

 

City 

 

State / Province 

 *  

Postcode / Zip 

 

Country 

 

 

If “other” please complete below

 

 

 

 

 

I enclose a cheque/postal order for   £

Please invoice me (organisations/institutions only)

Please enclose payment in sterling by cheque or postal order, payable to 'Progress Educational Trust', or indicate that you would like to be invoiced.

 
 

 

Please click once only.
The form may take up to a minute to process

 



140 Gray's Inn Road  London WC1X 8AX   Telephone 020 7278 7870   Facsimile 020 7278 7862   Email admin@progress.org.uk