HEAT Media 3-day Booking Form

First Name *Last Name *Employer *Employer Address *Job Title *Participant Email Address *Participant Mobile Phone Number *Invoice / Billing Email Address *

Please provide a valid business billing email address, your booking may be queried if you have not provided this. Please note that invoices are due within 14 days.

PO Number (if applicable)VAT Number (if applicable)Do you require any extra nights accommodation?

Please indicate in the checkboxes below. Please note that any extra nights accommodation is in addition to the course fee and is invoiced at £150+VAT per person, per night for Bed and Breakfast. Please note that extra accommodation is not guaranteed and is subject to availability at the venue.
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1 Extra night before Day 1 of the course1 Extra night after Day 3 of the courseDietary requirements?Are there any other issues of concern that the training team should be aware of relating to your attendance?Are there any specific topics you hope to cover during the training?Medical insurance details (if applicable)How did you hear about this course?*If 'other', please specify belowPlease note - Cancellation and transfer fees
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The following charges will apply (as % of full course fee):

• 0% if a cancellation or transfer occurs more than 4 week before the course.
• 25% if a transfer to another course occurs less than 4 weeks before the course.
• 50% if cancellation occurs less than 4 weeks before the course.
• 100% if cancellation or transfer occurs less than 1 week before the course.
Clicking the checkbox below means you have read and accept the full training services terms and conditions found here*
Accept Terms & Conditions *

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Booking Form: ILS HEAT Media 3-day Training