Order form.

Dyslexia Certificate Group Order - GROUP ORDER FORM

Teacher's or group leader's first name (e.g. Mary)
Last name/Surname (e.g. Smith)
Address line 1:
Address line 2:
City/town:
State/county:
Zip/postal code:
Country (e.g. USA, UK, etc.):
E-mail address:
Please enter your e-mail address again to ensure accuracy:
Upon completion of the course, would you like the certificates sent to you for presentation or to the students individually?
How many students are you ordering course materials for? (must be at least three)
In which currency are you you paying? (e.g. US dollars)
Total cost of your order:

PRICES per student with the 10% discount are as follows: USA $422, UK £205, Australia $427, Canada $425, Europe €269, New Zealand $536.

TYPE IN all the details and then PRINT out this form. Then type and print out your students' names and addresses here and send both forms, along with your
check/cheque (made out to 'Direct Learning Ltd') or School/College Purchase Order, to:

Direct Learning Ltd. (Group Registrations)
P.O. Box 1111
Guildford, Surrey
GU1 9EH
England, UK

NOTE that students may also pay by credit/debit card individually - which is slightly less expensive in some currencies. If using this method, each person should send us an email immediately after making their payment at the full price, and we will then refund the 10% discount back onto each card. This method is also faster. If using this method, the group leader should send us an email first letting us know how many students are joining in their group.

Dyslexia Teacher
'Training Teachers and Parents Worldwide'