Registration_ Form_BKK2011

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					Registration Form (for year 2011)
Westin Grande Sukhumvit Hotel,
Sukhumvit 19 Road, 259 Sukhumvit Road, Bangkok 10110


I wish to register for the following course for shippers of Infectious Substances & Biological Substance
Category B:

□ One-Day Certification Course at 6,500 THB per person (excluding Vat7%)

                  □ 23 March 2011
                  □ 24 March 2011
1.Name:                                                         Job Title:                                      Email:
(Mr/Mrs/Ms/Miss/Dr)

2.Name:                                                         Job Title:                                      Email:
(Mr/Mrs/Ms/Miss/Dr)

3.Name:                                                         Job Title:                                      Email:
(Mr/Mrs/Ms/Miss/Dr)



Organization:
Address:
City:                                                           State:
Postal Code:                                                    Country:
Telephone:                                                      Fax:
Special dietary request:

Payment method(s):
□ Cheque
Please make the cheque payable to [World Courier Asia (Thailand) Co., Ltd.] and mail to
[ Chamnanphenjati Business Center, 65/131 16th Floor Rama 9 Road, Huay Kwang, Huay Kwang,
Bangkok, 10310 Thailand]
□ Telegraphic Transfer
Bangkok Bank, Saphanmai Donmuang Branch, Account Number: 134-5-75000-2
(Kindly fax pay-in slip & a copy of withholding tax document to 66 2 248-7190)

Note: Remittance and beneficiary bank charges are borne by the participant(s).
Cancellations/Substitution
Cancellations received in writing at least 7 working day prior to the training will be refunded 50% of administration fee. Thereafter, cancellations are not
refundable. Participants may be substituted at any time.

To register:
Go to www.worldcourier.com/training, or fax this form to 662 248- 7190,
or mail this form to World Courier Asia (Thailand) Co., Ltd. Chamnanphenjati Business Center,
 65/131 16th Floor Rama 9 Road, Huay Kwang, Huay Kwang, Bangkok, 10310 Thailand

For more information:
Call 662 248-7195-7, or email dg@worldcourier.co.th

Additional Public courses are available upon request
Call 662 248 7195-7 for more information

				
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