Education Sector - Internet Marketing, Advertising Social Networking

							Education Sector – Internet Marketing,
Advertising & Social Networking – Booking Form

Please complete and return this form with payment, giving your credit/debit card details or enclosing a cheque made
payable to ‘OMTAC Ltd’ or making a BACS payment.

DELEGATE DETAILS

n First Delegate

First name ............................................................................................... Surname ..........................................................................................................................

Title ...............................Role ........................................................................................................................................................................................Male/Female

n Second Delegate

First name ............................................................................................... Surname ..........................................................................................................................

Title ...............................Role ........................................................................................................................................................................................Male/Female

n Third Delegate

First name ............................................................................................... Surname ..........................................................................................................................

Title ...............................Role ........................................................................................................................................................................................Male/Female
                                                                                                                                                                     (For additional delegates please use a separate sheet)
CONTACT DETAILS

Organisation/business Name...........................................................................................................................................................................................................

Department Name ............................................................................................................................................................................................................................

Address ................................................................................................................................................................................................................................................

................................................................................................................................................................................................................................................................

Town/City ......................................................................................................................................... County ..................................................................................

Country: ............................................................................................................................................ Postcode/Zip Code............................................................

Telephone.......................................................................................................................................... Fax .........................................................................................

Email ......................................................................................................................................................................................................................................................

Organisation/business Details (Relevant website URL’s and brief information) ..................................................................................................................

................................................................................................................................................................................................................................................................

................................................................................................................................................................................................................................................................



                                                           Online Marketing Training And Consultancy
                                              OMTAC Ltd, BMC 15-17 Middle Street, Brighton, BN1 1AL. United Kingdom
                                              T: 0845 058 39 85 (Local Rate) E: info@omtac.com W: www.omtac.com
     Registered office: 5 Arlington Road, Eastbourne, East Sussex BN21 1DJ. OMTAC Ltd is Registered in England and Wales No. 3843319. Vat Registration: 753463130.
BOOKING DETAILS
Please give details of the workshop/seminar(s) you are booking:
n First Workshop/Seminar

Workshop/Seminar Name:...............................................................................................................................................................................................................

Workshop/Seminar Location:......................................................................................... Workshop/Seminar Date(s): ............................................................

n Second Workshop/Seminar

Workshop/Seminar Name:...............................................................................................................................................................................................................

Workshop/Seminar Location:......................................................................................... Workshop/Seminar Date(s): ............................................................

n Third Workshop/Seminar

Workshop/Seminar Name:...............................................................................................................................................................................................................

Workshop/Seminar Location:......................................................................................... Workshop/Seminar Date(s): ............................................................

BOOKING CONFIRMATION
Please confirm the total amount payable (depending on the number of places you are booking):

£ ___________________

o       I am making payment by money wire transfer/bank transfer today.
        Account Name: OMTAC Ltd                                                         Sort Code: 20-12-80
        Bank: Barclays Bank Plc                                                         IBAN: GB53 BARC 2012 8080 6439 63
        Account Number: 80643963                                                        SWIFTBIC: BARCGB22

o       I enclose a sterling cheque for the full amount owing, made payable to ‘OMTAC Ltd’

o       I wish to pay by Credit/Debit Card (we accept all major cards but not American Express):


Name on the Card:......................................................................................................................... Card type:.............................................................................

Card number:               nnnn                                                 nnnn                                                  nnnn                                                  nnnn
Valid from:....................... Valid to:........................ Issue number (if applicable):............................ Security number: .......................................................
                                                                                                                                                                                                            (last 3 digits on the signature strip)

If the card is registered to a different address please give the address in full, including postcode/zip code:

Address:................................................................................................................................................................................................................................................

............................................................................................................................................................. Postcode/Zip Code:...........................................................

I confirm my booking and payment. Signature:...........................................................................................................................................................................

Please send this form (and a cheque if relevant, made payable to ‘OMTAC Ltd’) to:
                                                     Seminar Booking, OMTAC Ltd, BMC 15-17 Middle Street, Brighton, BN1 1AL. UK.

THANK YOU FOR YOUR BOOKING!
Your booking will be confirmed with a receipt and more details will be sent nearer the time of the event. We look forward to seeing you!



                                                            Online Marketing Training And Consultancy
                                               OMTAC Ltd, BMC 15-17 Middle Street, Brighton, BN1 1AL. United Kingdom
                                               T: 0845 058 39 85 (Local Rate) E: info@omtac.com W: www.omtac.com
      Registered office: 5 Arlington Road, Eastbourne, East Sussex BN21 1DJ. OMTAC Ltd is Registered in England and Wales No. 3843319. Vat Registration: 753463130.