PAYMENT

NAME ____________________________________

ADDRESS__________________________________

POSTCODE_______________________________

PHONE or EMAIL___________________________

BY CHEQUE Enclosed please find a cheque payable to

The Temenos Academy for £ ______________

BY CREDIT CARD Visa, Mastercard and Delta Debit cards accepted

Please debit my credit/debit card by the amount of  £__________

Card No ___________________________________

Expiry Date / ________________________________

Card Security Code ___________
 (last 3 digits of number printed on signature strip on the back of your card)

Name on the card ___________________________

Signature Date __________________________________


Note: for credit card payments the address given must be
the full address as it appears on your credit card statement.
Post this form to:
The Temenos Academy  PO Box 203 Ashford Kent TN25 5ZT