Study for a Chartered Institute of Purchasing & Supply (CIPS) qualification by Distance Learning through MCG
 

Full Inclusive Payment Form
 
Title Bold indicates a required field.
First name(s) Your given name
Surname /Last Name /Family name
Date of Birth / /  
Address
   
 
City

State
Postal Code/ Zip Code Enter 0000 if not applicable
Country
Email Please ensure valid email      
Alternative Email Re-enter email above if alternative not available 
Highest qualification held
Current Job Title 
Years of work experience
 
Programme Applied

Payment will be made by

 
Company Name Enter None  if not applicable)
Address
   
 
City

State
Postal Code/ Zip Code (Enter 000 if not applicable)
Country
 
Comment  
CIPS Membership Number
[Enter 000 if not issued]

If all the details are correct press the 'Submit' button. If you wish to change anything please do so before submitting, or press the Reset button.

(Please email error@weball.org should there be a problem in submitting the form)