First Name(s):

Surname:

Title:

Company/Organisation:

Job Title:

Address:

Tel:

Email:

Current Area of work/interest:

Special Requirements (e.g. vegetarian, limited mobility):

How did you hear about our course?: Email or letter from us From a colleague From IET / IChemE / InsMC / ISA Internet Search Google Ad LinkedIn LinkedIn Sponsored Ad National Instruments Link Other Website Link

Registration before 31st October 2025

£1,380 + VAT per delegate

Registration on/after 31st October 2025

£1,490 + VAT per delegate

Please reserve: 1 2 3 4 5 6 7 8 9 10 places on the course.

Additional Names:

Total Sum Payable (£):

(Please pay the amount including VAT. See Terms and Conditions)

Company VAT ID No.: (only needed if from a non-UK company based in European Union)

Method of payment:

Bank Transfer

To: Industrial Systems and Control Limited, The Royal Bank of Scotland plc, Gordon St, Glasgow G1 3PL, Scotland, UK. Sterling Account number: 00644350, Sort Code: 830706
Please include the delegates names on the bank transfer. Euro and US$ bank account details available on request.

Purchase Order

An invoice will be sent to the contact below.

Debit/Credit Card

An email with a link to make a secure payment will be sent to the contact below, along with an invoice.

Please complete the following if paying by Purchase Order or Credit Card:

Purchase Order Number (if paying by Purchase Order):

Payment Contact Name (if different to above):

Payment Contact Email (if different to above):

Address (if different to above):

Tel (if different to above):