Request Prospectus

If you would like us to send you a prospectus, please fill in your details below. We’re happy to provide our prospectus in Braille, large print or audio CD formats – you can order one of these at step four. If you have difficulties in using this form, please contact reception@lipa.ac.uk

Step 1

What area would you like to receive information about? *

Undergraduate courses:

Postgraduate courses:

LIPA Foundation Certificates:

Please select which year you wish to start your studies at LIPA: *

Step 2

Title: *

First Name(s): *

Family/Surname: *

Date of Birth: *

House name / number: *

1st line of address: *

2nd line of address:

3rd line of address:

Town/City: *

County/Area:

Postcode/Zip code: *

Country: *

Please specify:

Home Telephone No.: *

Mobile/Cell Phone No.:

Email address: *

Step 3

How did you hear about LIPA?:

Please specify:

Step 4

If you require a prospectus in an alternative format, please choose from the following options:

Available formats:

Please specify:

For your information

The information you have provided may be used by LIPA to contact you about courses you may be interested in and Open Days you may wish to attend. It will not be disclosed to external organizations. It will be processed securely and in full accordance with the UK Data Protection Act 1998 at all times. Should you have any problems then please email reception@lipa.ac.uk or call Reception on +44(0) 151 330 3000.

You also have the option to receive a regular e-newsletter from us providing general news about LIPA, and information about forthcoming events. Please tick this box if you would like to subscribe to this service.

I would like to receive LIPA e-newsletters

I accept that LIPA will use the data I have provided to send me the electronic or printed material(s) I have asked to receive. That my details will be added to LIPA's database, to enable them to send me further information in future that they think may be relevant to me