Customer Enquiry Form

CUSTOMER ENQUIRY FORM

Personal Details (items with an * are compulsory)

What course or service are you interested in?

Course/Service:
Course Number:	Campus:
	other location
Preferred Attendance:	Full-time Part-Time Day Online Week-end Part-Time Evening
Delivery Mode:	On Campus Flexible Online Distance
What Prompted Enquiry:
Comments:
The information provided by you on this Course Enquiry Form will be used by TAFE NSW - North Coast Institute for the purposes of general student administration, planning and communication. The provision of this information is essential to assist you to find a study option that suits your needs. The above information will be transmitted via email and could be subject to unauthorised interception. Should you have any concerns about this transmission please print out and fax this form to (country code +61) 02 6586 2344 Once received by the Institute, the information provided will be held securely and confidentially. By submitting this form you agree that the Institute may contact you for marketing purposes. You may access, correct or amend your personal details by phoning 131601.