Individual Booking form

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Please complete this form if you are making an individual booking for a course.

Course information

Course Title *

Select from the list below

Location *

Select from the list below

Course Length *

Start date *

YYYY

Delegate Information

Title *

First Name *

Family Name *

Nationality *

Telephone

Email *

Organisation *

Department *

Any special arrangements needed: *

Dietary, disabled access, any other special requirements that we need to know about)

Payment information

Is payment attached? *

Yes

Required

Amount of payment attached *

(please check the price list ...)

Currency *

Other comments

Please Note

1. Booking cannot be confirmed until payment is made
2. Payment needs to be received at least two weeks before course begins
3. Submit this online form or download a pdf form and return it to Energy Markets Global Limited (email....)

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