Booking Form

Course Name:
Course Date:
Course City:

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ATTENDEE DETAILS

Name *:

Email *:

Telephone Number *:

Organisation Name *:

Book additional attendees?NoYes

Dietary Requirements

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INVOICE DETAILS

Please provide details of the person responsible for payment:

Payment Contact Name *:

Email address *:

Telephone *:

Invoice address *:

Purchase Order (if known):

Paying by credit / debit card? * Yes (2.4% surcharge applies)No

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Comments:

Important - please read our terms & conditions before submitting your booking. Cancellation fees may apply.

Yes, I have read and accept IRM's terms and conditions