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Course name

Course date

Location

Delegate name

Membership number

Delegate email (Mandatory)

Delegate contact number

Job title

Name on card

16 digit card number

Card expiry date

Security code (three digits)

Do you require a VAT receipt Yes o No o

Purchase order number

Invoice address

Accounts contact details (name and phone)

Upon submission of this completed form you are agreeing to our Terms & Conditions.

Please complete, scan and send to training@imeche.org.

COURSE AND DELEGATE INFORMATION

PAYMENT OPTIONS - CREDIT CARD or PURCHASE ORDER

CREDIT CARD - please note we do not accept American Express

PURCHASE ORDER/ INVOICE (please attach a copy of the PO)

FEES

COURSE

BOOKING FORM

IMechE Training and Professional Development

105 St Peter's Street, St Albans, Hertfordshire AL1 3EJ, UK. Tel: +44 (0) 1727 896061 Fax: +44 (0) 1727 896026

Company Registered in England No: 1103638 VAT Registered no GB 299 930493

Please cut along dotted line

o Online o Email o Recommendation o Website

o Brochure o Webinar o Event

o Other:

HOW DID YOU HEAR FROM US?

o Preparing engineering specifications - £1,215 + VAT

o Reviewing engineering documents - £595 + VAT

o Technical report writing - £595 + VAT

o Advanced technical report writing - £595 + VAT

Please contact us for member or group discounts

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