Asimi College of Jewellery

Enrolment Form

Please print this page and write in BLOCK letters (All personal details will be used for enrolment purposes only)

First Name :

Surname:

Sex: Male[ ]

Female[ ]

Address:

Tel: Daytime:		Night:
Mobile:		Email:

Course Name (1):
Course Name (2):
Course Name (3):

Time: From:		To:		Total hours:
Date From:				Must Complete by:

** PLEASE NOTE THE COURSE MUST BE COMPLETED WITHIN 3 MONTHS FROM YOUR START DATE**

I pay with:	cash		Direct Payment
	cheque		(thru ATM or bank teller)

Discount Offer: (HK$ 4,000 x 3 = HK$ 12,000 - 10% discount = HK$ 10,800)

Groups of 3 or more newcomers 10% discount
Or
I join 3 or more courses 10% discount
Number of course(s) to join:
Total amount HK$:

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Please note all the courses do not include materials. Full payment is required each time for all purchased materials.

Before you apply, please read carefully the terms and conditions. Courses, tools and materials are non-refundable.

Declaration (Please tick)
I declare the information given on this form is true and correct. I have read the terms and conditions
Tick here if you don't want to add your name to our low volume mailing list.

Signature

Date

Please send the enrolment form together with a crossed cheque, payable to “Asimi Ltd.” Write your name, contact number and course applied for, on the back of the cheque.
Asimi Ltd, Tel: 852 2157 1970 info@asimiart.com 7B, Wing Lok Street Trade Center, 235 Wing Lok Street Sheung Wan,Hong Kong

You may also make a payment directly to our bank account: HSBC 106-426059-001 (Please fax us the receipt if you choose this method)

Office Use only: