Postgraduate Open Day Booking Form

Please complete this form to reserve your place at one of this year's Open Days.  If you experience any technical problems submitting the form, please send an email to: pg-marketing@lancaster.ac.uk.

* Indicates a mandatory field.

YOUR OPEN DAY BOOKING

Please select the date you wish to attend:  *
Wednesday 22nd February 2012		Wednesday 20th June 2012

What type of programme are you interested in?  *
Taught (for example MA, MSc, LLM)		Research (for example PhD)		Taught & Research

Subject area  *

Programme of interest (if known)

Number of people expecting to attend  *

How are you intending to travel?  *
Car		Coach/Bus		Rail		Other

ABOUT YOU

Title*
Miss		Mr		Mrs		Ms		Dr		Other

First Name*

Family Name*

Email address*

Address line 1*

Address line 2

Postal town/city*

Postcode (UK)

Country

Telephone:(including dialing code)

Please tell us about your current occupation/study. Tick all that apply.
I am an undergraduate student		I am a postgraduate student		I am in employment		I am unemployed		I am retired

If you are currently a student, at which institution are you studying?

Data Protection Notice The information on this form will be used only for the purposes of dealing with your enquiry and to inform you of relevant information relating to your proposed course of study at Lancaster University. All data is held and processed in accordance with the Data Protection Act (1998) and will not be passed to any third party organisation. By completing this form you consent to the above uses of this data.