Download the booking form _DOC_ 24kb_ - Booking Form by malj

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									                                          ON LINE BOOKING FORM

NAME OF THE COURSE OR SEMINAR: ________________________________________________________________
DATE:________________________________________________________________________________________
VENUE:______________________________________________________________________________________
DELEGATE NAME/S:_____________________________________________________________________________
COMPANY:____________________________________________________________________________________
ADDRESS:____________________________________________________________________________________
TELEPHONE:_______________           Fax:__________________             Email:_________________________________
IEI MEMBER         MEMBERSHIP NO: ______________________ NON MEMBER ___________________________
                                    PLEASE INDICATE METHOD OF PAYMENT:
     I ENCLOSE CHEQUE OR PURCHASE ORDER NUMBER (IF APPLICABLE)_____________________________________
OR   PLEASE DEBIT MY CREDIT CARD:
LASER       VISA     AMERICAN EXPRESS      MASTERCARD        WITH THE SUM OF    €______________________________

CARD NO:_________________________________________ EXPIRY DATE:________________________________

CARDHOLDER’S SIGNATURE:_______________________________________________________________________

CARDHOLDER’S NAME:___________________________________________________________________________

CARDHOLDER'S BILLING ADDRESS:__________________________________________________________________

         PLEASE RETURN TO: EAMONN MCHUGH. EDUCATION CENTRE, 22 CLYDE ROAD, BALLSBRIDGE, DUBLIN 4
                TEL: +353 1 6090228 FAX: +353 1 6685508 EMAIL: EMCHUGH@ENGINEERSIRELAND.IE

BOOKING CONDITIONS:


PAYMENT:               PAYMENT MUST ACCOMPANY REGISTRATION AND MAY BE MADE BY CHEQUE,
                       CREDIT CARD OR, WHERE APPROPRIATE, PURCHASE ORDER.


CANCELLATION:          A 50% CANCELLATION FEE (TO COVER ADMINISTRATION) WILL BE CHARGED FOR
                       CANCELLATIONS RECEIVED WITHIN SEVEN DAYS PRIOR TO THE COMMENCEMENT OF THE COURSE/SEMINAR.
                       CANCELLATIONS RECEIVED ON THE DAY OF THE COURSE/SEMINAR WILL INCUR THE FULL COURSE/SEMINAR FEE.
                       SUBSTITUTIONS ARE ALLOWED.


PRIORITY:               AS THE NUMBER OF PLACES ON THE COURSE/SEMINAR ARE LIMITED, PRIORITY WILL BE GIVEN TO IEI MEMBERS.




COURSE CONTACT:         EAMONN MCHUGH, ENGINEERS IRELAND

								
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