Book an Undergraduate Open Day

Please complete the booking form below as accurately as possible. Further information will be sent once you have booked. We will contact you in the first instance using the email address that you give, so please ensure that these details are correct.

Your information will be used for the purpose of supplying Open Day details and will then be kept on a database by Brunel University and will not be made available outside the University.

Title:

First Name:

Surname:

Please enter your email address:

Please confirm your email address:

Please enter your telephone number:

School/College name:

Number of guests attending?:

•  0
•  1
•  2

Do you need assistance due to mobility or sensory difficulties, please specify and we will contact you in advance:

•  Yes
•  No

Intended Year of Entry:

•  2013/14
•  2014/15
•  2015/16
•  2016/17

Please choose event date (you can select courses on the next page)