Distance Certificate in Perfumery Art
Registration Form 2014/15
Surname / Forename(s)
Title / Gender / Male / Female
Home Address
Postcode
Tel No / Email
Mobile No / Skype ID
Date of Birth / Nationality
Company Details (optional if fees paid by self – mandatory if registered via your company)
Company Name
Company Address
Postcode / Position Held
Work Tel No / Email
Perfume Foundation Member / Yes / No
Fees
Who is paying your fees / Self / Sponsor
Name of Sponsor
Address of Sponsor
Postcode
Tel No / Email
Please note that the Student kit is only included for enrolment to the Full certificate course or Modules 1 & 2. The Free student Website is not included when enrolling per module only. Please note that the enrolment process might take up to 10 days. Visit our Terms and Conditions for details.
Fee Option / £1250/$2000/€1500 Full certificate course –
5 modules (includes kit + certification)
£1296/$2070/€1550 Full certificate course – Instalment plan
5 modules (includes kit + certification)
£2130/$3400/€2550 Full certificate course –
5 modules (includes kit + certification) + 10
days practical certified course at summer school
£2145/$3430/€2570 Full certificate course – Instalment plan
5 modules (includes kit + certification) + 10
days practical certified course at summer school
£850/$1350/€1050 Modules 1 & 2 only – Smell & Create (includes kit only – £20 shipping costs at your expense)
SPECIAL FEE / WHEN DISCOUNT AVAILABLE/OTHER FEE
THE PERFUMERY ART SCHOOL RESERVES THE RIGHT TO REFUSE ENROLMENT.
PLEASE ENSURE YOU HAVE COMPLETED ALL INFORMATION REQUIREMENTS.
Payment
The Perfumery Art School accepts payments in STERLING, US DOLLAR and EURO via VISA/MASTERCARD CREDIT
CARD, DEBIT CARD, BACS, STERLING CHEQUE and PAYPAL.
For residents in the UK and Northern Ireland ONLY, whose company is the sponsor, an invoice can be sent to the FINANCE CONTACT NAME provided.
Payments by STERLING cheques needs to be addressed to our registered office and made payable to ‘’Perfumery Art School UK Ltd’’. All fees are non-refundable. If you are being sponsored a signed
Cheque / Please make all cheques payable to the “Perfumery Art School UK” and along with your registration form, please forward to The Perfumery Art School UK Ltd, 29 Brigg Drive, First Lane, Hessle HU13 9HG, United Kingdom. Note that the enrolment will be completed when the cheque has been cleared.
BACS Transfer / Please find The Perfumery Art School UK bank details below. For all payments please reference Perfumery Art School Enrolment
Bank: / HSBC PLC
Address: / Merritt Centre, Hessle, East Yorkshire
Account Number: / 80124079
Sort Code: / 40-25-59
Account Title: / Perfumery Art School UK Ltd
IBAN Number: / GB46MIDL40255980124079
BIC/Swift Number: / MIDLGB22
Credit/Debit card / You can pay by Credit card or debit card using our secure payment system online via Paypal. To do so, please visit the eBooking page on our website: , choose your course and enter the details requested.
Alternatively, please return the form and we will send you an electronic invoice. Please note that your enrolment will only be completed upon settlement of the electronic invoice.
Finance payment / You may pay in 3 settlements of £432 each via our online payment system. Go to the eBooking page on our website: and choose the option ‘Instalment plan’. This will take you to the Instalment subscription page. Complete it and your instalment plan will activate automatically.
Invoice (if fees paid by your company) / Invoice (to be settled within 30 days of invoice date) – Please note a finance contact name and email address must be provided
Please arrange an invoice (UK and Northern Ireland only) to be sent to:
Contact Name
Address
Email Address
Educational Background
Please give details of the level of English language and main qualification to be considered for entry.
Level of English / GCSE LEVEL C ESOL LEVEL 3 IELTS LEVEL 3 A LEVEL MOTHER TONGUE
Qualification
Place of Study / Date of Award
Grade / Awarding Body
Specialism or Main Subjects of Study
Experience
Explain briefly your motivation for wanting to enrol in the course? If you have any previous experience in the field, please give details.
Application criteria
Please kindly reply to the questions below in order to support your application.
Do you have access to a computer
and Internet ? / YES NO / If yes, how many hours a week?
Which operating system do you use ? / Windows Mac / Which version of Office or Mac OS do you use ?
If you have a website, please indicate URL
If you do not have access to Skype, which is the best way to contact you? / What is the best day and time to contact you during the week ?
Can you spare at least 2 hours a week for your study?
Are you confident you can work alone and keep your motivation? If no, please specify: / YES NO
YES NO / What is your objective with this course?
Career in a fragrance or cosmetic company
Creation of own collection/business
Hobby/personal interest
Skills upgrade/new method of creating
Teaching/training delivery
Need to know the basics for my current job
Other – Please specify:
Please return the completed form by post or email to:
The Perfumery Art School
Admin Services
29 Brigg Drive, First Lane
Hessle, East Yorkshire
HU13 9HG
United Kingdom
Tel. +44(0)203 0869956
Tel: +44(0)7917850902
Email: