Please complete all of the following enquiry form.
Title:

First Name:

Last Name:

Date of Birth: (Please enter as dd/mm/yyyy)
Address:

Telephone:

Email:
   
Current school if applicable:
   
Please indicate the type of prospectus you would like us to send you by ticking the
appropriate boxes below:
Full-time course
      guide 2012/13		 Part-time course guide
      2011/12 (Sept start)

Degree Course
      guide 2011/12

     
 
   
How can we help:
   
Peterborough Regional College would like to use your details to send you relevant information in the future. We will not pass your details on to any other organisation. Please tick how we may contact you:

Post:     Telephone:     Email:     SMS text:
 

Please tick if you are aware of any of the following advertising by the College:
                     
Event   Newspaper       Radio   Poster/banner Other source  
  Evening Telegraph Herald &
Post		   Hereward Heart FM   Town AA signs   Connexions
    Hunts Post Stamford Mercury   Lite FM   School Mail shot  

YellowPages/
Phonebook
    Cambs Times Other   Kiss   Library Website   E-mail/
Text
              Other   Other Bus Advert   Other