Our Adult Guide Please complete the below form to enable you to obtain a PDF version of our Prospectus. Adult Guide Date of birth * Title First Name * Surname * Address 1 * Address 2 Town / City * Region Postcode * Phone number * Mobile number Email Address What subject(s) are you interested in studying? When I'm thinking of starting When I'm thinking of starting September 2017 September 2018 September 2019 Other How did you hear about Buxton & Leek College? How did you hear about Buxton & Leek College? Social Media Careers Event Community Event Friends or Family BLC Website Other Website Newspaper Careers Advisor School BLC Messenger Bus Advert Leaflet / Mini Guide Prospectus Job Centre Radio Email Other By completing your details you are consenting to Buxton & Leek College sending you the adult guide as requested and information on the course that you are interested in. We will also use your data for internal performance reports. We will only use your data in connection with this request. Please tick the box to indicate that you have read this. I have read the above. We would like to send you further information about our courses and about studying at Buxton & Leek College by email. Do you consent to this communication? Yes No We would like to send you further information about our courses and about studying at Buxton & Leek College by post. Do you consent to this communication? Yes No
