Booking Form

Please complete in CAPITALS

Contact Name

Position Company

(Full company name for invoicing purposes)

Address

Post Code Tel No.

Type of Business please tick B2B (Trade)

Seminar

Code Date

First Name Surname

First Name Surname

First Name

Surname

Delegate 2 Yes/No

Position E-Mail

Position E-Mail

Position

E-Mail

Please state whether delegate is a member of the Institute Delegate 1 Yes/No

Delegate 3 Yes/No

Special Requirements (dietary, access, etc)

BOOK AND PAY ONLINE AND RECEIVE A £10 DISCOUNT www.icm.org.uk

To Book Please tick your preferred method of payment and return by post or fax to:

The Training Department, ICM (Services) Ltd, The Water Mill, Station Road, South Luffenham, Oakham, Leicestershire LE15 8NB. Tel: 01780 722907 Fax: 01780 721700 email: training@icm.org.uk

❑ Cheque enclosed made payable to ICM (Services) Ltd for £ ❑ Credit Card Please debit my ❑ Visa ❑ MasterCard for £

Card No. CCV code

inc VAT inc VAT E-Mail B2C (Consumer) B2B+C (Both)

June / July 2010

ICM Member

Yes / No

Signature ❑ Invoice Please invoice me for £

Registered in England No. 351974. Registered office as above. VAT Registered Number GB 576 6536 95

Institute of Credit Management (Services) Ltd is a wholly owned subsidiary of the Institute of Credit Management

(Payment terms: 14 days from date of invoice)

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