Business Start-up and Entrepreneurship - Association of Business ...

UK and EU QCF Examination Entry Form December 2013Business Start-up and EntrepreneurshipPlease ensure that this form reaches the ABE office before the closing date: Friday 4 October 2013.NEW MEMBERS - If you have applied for ABE membership please submit your examination entry form now. Do not wait until you have receivedyour ABE membership number.This page must be completed in BLOCK CAPITALS and sent to ABE together with your selection of subject entries (page 3) and thecorrect payment.Family NameABE Membership No.Given NameDate of Birth (e.g. 16031985)EmailFull AddressName of Town/City where you can sit the examination(London students should write 'LONDON' and will be allocated an examination centre)FOR OFFICE USE ONLYName of College where you are studyingPayment• Payment must be made in £ sterling (GBP) by cheque/draft drawn on a UK bank, by postal order or by credit/debit card. Payment received inother currencies cannot be accepted.• Examination forms will not be accepted unless accompanied by the correct payment. Please write your full name and membership number on back ofcheque/bank draft. Cheques and bank drafts must be made payable to ABE.• Faxed examination entry forms will only be accepted if payment is made by credit/debit card. Forms with photocopies of bank drafts/cheques will notbe accepted. Please do not both fax and post your examination entry form. Email examination entries will not be accepted.Credit/Debit card payment formI authorise you to debit my Visa/Delta/MasterCard/Maestro/Solo/JCB/AMEX account with the amount £My card number isExpiry dateValid fromMonth Year Month YearCardholder NameIssue no.(if applicable)Security Code (last three digits on signature strip on back of card or fourdigits on front of AMEX card).IMPORTANT NOTICEYOU MUST PROVIDE THE SECURITY CODEFOR PAYMENT TO BE ACCEPTEDCardholder AddressPostcode(UK address only)Customer SignatureTelephone no.Fax no.DateExamination Fees £Payment enclosedDeduct from my card (see above)Deduct from the credit balance I have in my ABE accountPage 2 of 5