Student declaration


	[Click the Print button in your browser toolbar and then close this window] Please complete this form and send it with your order to:


		Forestfield Software Ltd 14 Warnham Road Horsham West Sussex RH12 2QU United Kingdom

	Student details:

Name
Address
Postcode		telephone
Country		Email


	Course details:

University or College
Faculty or Department
Course of study
Qualification
Expected or actual date
Course tutor or referee	Name of an official who can confirm your student status
Referee address


	Declaration:

I am a student undertaking / I have completed in the last six months ^* a course of study relating to nutrition. I wish to purchase Dietplan7 at the special student price. I accept that the software will be licenced for my own personal and professional use only and that the licence is not transferable to any other person.
Signature:	Date:	^*Delete as applicable