SDC Booking

I wish to apply for a place on the following course:
Course		Venue
Cost	(plus Ł30 if not BSAC Member)	Start Date

Please provide the following contact information:
Title	*	BSAC Membership No	* (A999999 or None)
First name	*	Branch No	* (9999 or None)
Last name	*	Branch Name	*
Address	*	Diver Grade	*
Address		Date Joined	*
Post Town	*	Date of Birth	*
County	*	Home Tel	*
Post Code	*	Work Tel
E-mail	* (or N/A)	Mobile Tel

	I have read the Terms and Conditions

	I wish to pay for the booking by: Cheque by post Online via PayPal®

Please print out a copy of this completed form, and send it, enclosing the following:

Copy of my Highest Diver Grade (Not required for this course).
Cheque payable to 'BSAC South East Region' if you do not pay via PayPal.

to: BSAC-SE SDCO, Mulysa, 26 Orchard Hill, Rudgwick, West Sussex, RH12 3EQ

If neither of the above apply, then there is no need to send any paperwork.

Upon completion of this booking, you should receive a confirmation email. If this does not occur within 24 hours, then you may have entered an incorrect email address and the joining instructions for the course will not reach you. Please contact the SDCO in this instance.

Notes

Please read our Terms and Conditions.
Please enclose a separate cheque for each booking.