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EFTA01168544

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ACCEPTANCE FORM To accept this offer: Please complete this form with your non-refundable deposit of £500 by 19th September 2011. To decline this offer: Please complete and return this form, so that we may release your place to another applicant. Student Name: (,,NU) (wow) Course Name: Address: E-mail Address: 0 I accept the offer of admission to Christie's Education and I enclose payment of £500, being a non-refundable deposit, and agree to pay the remaining balance of £20,000 before 23 September 2011. Payment is made by: 0 Cheque or 0 Bank Transfer 0 I wish to decline the offer of admission for the following reasons: Student Signature Date Please post or fax this form and 2 passport-sized photographs each with your name on the back, to: Catherine McGivern EFTA01168544