Acca App Form

LSBF InterActive ACCA Booking Form

February 2009

To secure your booking please make sure that you complete all sections of this application form clearly in black or blue ink and BLOCK CAPITAL LETTTERS and return a scanned copy to the following address: [email protected] or fax the completed form to: +44 (0)207 823 2302

Personal Details * Please delete as appropriate

Title: Mr/Mrs/Ms/Miss/Dr/Prof * First Name: |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|

Surname: |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__| Date of Birth: |D_|D_|M_|M_|Y_|Y_|Y_|Y_| Gender: Male/Female* Nationality: _____________________________ Tel No: |__|__|__|__|__|__|__|__|__|__|__|__| Email: |__|__|__|__|__|__|__|__|__|__|__|__|__|__| ACCA Registration Number:

Billing Address

|__|__|__|__|__|__|__|

Please note that it is your sole responsibility to comply with the registration requirements of and to register with the ACCA.

*If paying by credit card, please ensure this field exactly matches the address held on file by your credit card company

Address Line 1: |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|

Address Line 2: |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__| City: |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|

State/Province: |__|__|__|__|__|

Country: |__|__|__|__|__|__|__|__|__|__|__|__|__|__| ZIP/Postal Code: |__|__|__|__|__|__|__|__|__|

Mailing Address Address Line 1: |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__| Address Line 2: |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__| City: |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|

State/Province: |__|__|__|__|__|

Country: |__|__|__|__|__|__|__|__|__|__|__|__|__|__| ZIP/Postal Code: |__|__|__|__|__|__|__|__|__|

Payment Details I wish to pay by: Option 1: Credit Card |__| > Credit Card type:

Visa |__|

MasterCard |__|

Card Number: |__|__|__|__| |__|__|__|__| |__|__|__|__| |__|__|__|__| Expiry: |__|__| / |__|__| CCV: |__|__|__| (Last three digits on the signature panel at the back of the card) Issue Number: |__|__| * if applicable Cardholder’s Name as it appears on the card: |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__| -OROption 2: Bank Transfer |__| Important: Please quote your full name as the payment reference. Please make payments to InterActive Pro Limited, NatWest Bank plc, London Bridge branch, London, UK Sort Code: 51-50-03, Account Number: 65748018, IBAN: GB86NWBK51500365748018, SWIFT-BIC: BKGB2L

Course Selection ACCA Paper price per paper

ACCA Online £180 £90

ACCA InterActive £300 £150

ACCA InterActive +live £380 £190

Knowledge Level F1 Accountant in Business F2 Management Accounting F3 Financial Accounting (International) Skills Level F4 Corporate and Business Law (Eng) F5 Performance Management F6 Taxation F7 Financial Reporting (International) F8 Audit & Assurance (International) F9 Financial Management Essentials Level P1 Professional Accountant P2 Corporate Reporting (International) P3 Business Analysis Options P4 Advanced Financial Management (June 09) P5 Advanced Performance Management P6 Advanced Taxation (June 09) P7 Advanced Audit & Assurance Order Total: £__________ =

x £90

+

x £150

+

x £190

Student Acceptance of the Enrolment Terms and Conditions By completing and submitting this form I hereby indicate that I have read and understood, and agree to the Terms and Conditions, including the Privacy Policy, ACCA registration requirements and payment and refund accessible on http://www.lsbf.org.uk/acca_online/terms_conditions.html.

Please note the above offer does not include postage and packaging (ACCA InterActive and ACCA InterActive + LIVE packages only). P&P of books per subject will be as follows: £10 within the UK and Northern Ireland, £20 within Europe and £35 for the rest of the world and will be added to your order. If you cannot access or do not accept the Terms and Conditions of Enrolment you are not permitted to book an InterActive course and please do not return this form.

Student’s signature: __________________________________________ Date: |D_|D_|M_|M_|Y_|Y_|Y_|Y_|

London School of Business & Finance

InterActive

8-9 Holborn, London EC1N 2LL United Kingdom Tel: +44 (0)207 823 2303 Fax: +44 (0)207 823 2302

www.lsbf.org.uk [email protected]