Application Form : Jane Packer School Of Flowers

Name Of Course .........................................................

Please enter Start date of Course.....................................

Deposit Amount £ ..............................

Method of Payment, Please Tick

Cheque Made Payable to Jane Packer ltd  ......

OR   Please Under line Card Type

Mastercard / Visa / Amex / JCB / Switch / Maestro 

Card Number ..........................................................................

Expiry date: ............................

Security No. (last 3 digits of number on the Signature Strip)...............

Name ......................................................................

Address ...................................................................

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

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

...................................Post Code................................

Telephone................................................................

Fax ........................................................................

Email ......................................................................

I have read and agree to the Terms & Conditions attached to this request for a place on the above course.

Signature .............................................................

Date ..................................................................

Please print this application form and post / fax to the address below

Ensure that you read our Terms & Conditions before applying

ReturnTo:          

Jane Packer Flower School

32-34 New Cavendish Street London

W1G 8UE

Fax:  020 7935 2135    

Tel :  020 7486 1300

Email : school@janepacker.com