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 22nd October 2024

£1,190 + VAT per delegate

Registration on/after 22nd October 2024

£1,340 + VAT per delegate

Multiple delegates from the same company

For two or more places, each additional place is 10% off the single place fee.

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

Please invoice my company/organisation at the address below.

Purchase Order Number:

Contact Name (if different to above):

Address (if different to above):

Tel (if different to above):