Male Female .

Date Of Birth (dd/mm/yy)...

First Name:................................

Middle Name:............................

Surname:....................................

.Name Of Parents/Guardian:

 

Contact Address In Your Country:

Telephone Number (Including area code):

University Being Attended in Country Of Origin:

Course Being Studied In Country Of Origin:

University Being Attended In Edinburgh:

Course Being Attended in Edinburgh:

 

Edinburgh Address If Known:

Length Of Time Being Spent At University:

Date Of Arrival (dd/mm/yy):

Date Of Departure (dd/mm/yy):

 

Service I Wish To Apply For:

Silver - 2 Day (Day of Arrival + 1) - £100

Gold - 2 Weeks (14 Days) - £200

Platinum - 1 Month (28 Days) - £300

Straightforward pickup - £25

 

Payment should be made by Cashier’s Cheque or Money Order in Pounds sterling. Cheques should be received by me no less than three weeks before arrival.