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The Cardiff Centre for Lifelong Learning MEMBERSHIP SCHEME

REGISTRATION FORM

Student Name :
Student Number :
Course Studied in 2010-2011:
Email:
If your postal address or contact no. has changed since you last registered, please indicate the new details below:

New Postal Address:

 

New Contact Number:
I wish to register for the Centre for Lifelong Learning’s FREE Membership Scheme. I confirm that I studied at the Centre in 2009-10.