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

Remittance Advise Form

 
Title Bold indicates a required field.
First name 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 Method
Payment Date / /
Amount
Comment
[Please indicate AWB No and the Courier Co Name, if applicable]
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@CIPSglobal.org should there be a problem in submitting the form)