Book a Training Course

Please see our Privacy Notice for information on how we process your personal data.

Please complete the following form to book your place on:
21/09/2018,1-day Hands-on Purge-and-Trap

Primary delegate details

Full Name *

Organisation *

Position *

Nationality *

Address *

Phone No. *

Fax No.

Email *

Delegate Listing

Please select if you are happy for your telephone and email details to be listed in the delegate listing *

Yes

No

Access Requirements

Please specify any access requirements you have

Learning Difficulties

Please specify any learning difficulties you have

Dietary Requirements

Please specify any dietary requirements you may have as lunches will be provided

Group Bookings

All delegates must have the same company details as the primary delegate and be attending the same course at the same location. The 4th delegate to any Anthias course will have a complimentary place. For a total of more than 4 delegates please use a separate form

4th Delegate

Name

Email

Nationality

Delegate listing?

Yes

No

Access requirements

Learning difficulties

Dietary requirements

2nd Delegate

Name

Email

Nationality

Delegate listing?

Yes

No

Access requirements

Learning difficulties

Dietary requirements

3rd Delegate

Name

Email

Nationality

Delegate listing?

Yes

No

Access requirements

Learning difficulties

Dietary requirements

How did you find us?

Where did you find out about us? *

Please specify details, if applicable, of web search engine, website listing url, where the flyer was viewed, name of supplier, or other

Payment

Do you have funding for this course? Please select *

Yes, I have funding for this course. Please send me an invoice.

No, I don't have funding. Please send me a proposal.

How would you like to pay? Please select *

I would like to pay by credit card

I would like to pay electronically by bank transfer.

Accounts Contact Name *

Accounts Phone No. *

Accounts Email *

Invoice Address *

Purchase Order Number

If a purchase order number is specified, please email an electronic copy of your purchase order to courses@anthias.co.uk

VAT Registration Number

Promotion Code

Please enter a valid promotion code or special discount code

Further Information

Please enter any further related information

Applicable Terms and Conditions

Please see our Standard Terms and Conditions and our Training Course Terms and Conditions.

I/we have read and agree to the terms and conditions listed above. *

Yes

I/we understand that Anthias’ payment terms are 30 days with a purchase order, 7 days with no purchase order, or payments must be made 2 weeks before the start of the training course if this date is earlier. Late bookings may be accepted, if the course fee is paid immediately. Anthias Consulting reserves the right to refuse admission to delegates, if payment has not been made. *

Yes

I/we understand that cancellation may incur a penalty, as detailed in section 6 of our terms and conditions. *

Yes

I/we confirm that all course delegates named above have adequate medical & travel insurance for this trip (please ensure your company provides you with details, or take out an appropriate policy for the country you are visiting!) *

Yes

I/we confirm the booking is more than 6 weeks in advance and are applying for a 10% discount for RSC Members attending training courses approved by the RSC for CPD. Enter member name and RSC membership no. to confirm:

I/we agree to be invoiced for the amount advertised, inclusive of applicable discount and admin fees, and with added VAT (20% for UK courses). *

Yes

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