Please
fill in your details below and complete additional
forms if more than 1 delegate is attending.
First
Name:
*
Sur
Name
*
Company
*
Telephone
*
E-mail
*
Job Title
*
Address
Course
*
Course
fees include lunches and refreshments. All
fees are exclusive of accommodations.
Payment in full is due along with the application.
Payments by cheque should be made out to
Harrington Middle East.
For Bank Transfer kindly send to: Account
Name: Harrington Middle East Account No. 0079-706790-001
(AED Account) OR Bin Zayed Group Account No.
0079-009152-010 (USD Account),
Emirates Bank International,Jumeirah Branch,
Dubai, U.A.E., Swift Code: EBILAEAD
PAYMENT METHOD
By Credit Card
By
Company Cheque
By Bank Transfer
By Bank Draft
If
payments through Credit Card please fill in
this section:-
Card Type
Card Holder's Name
*
Card Number
*
Card Expiry
*
Amount
*
Date
*
I
hereby authorize Harrington Middle East to debit
my account for the above said amount
Fax Back Form to: (+9714-3325597) or Email back:
training@harrington-me.com
Harrington Middle East, Suite 1002, City Tower
2, Sheikh Zayed Road, P.O. Box 53793, Dubai,
U.A.E.
CANCELLATION
POLICY Cancellations or
transfers received 10 working days or less
before a course, no refund will
be allowed. Cancellations or course transfers
must be made in writing. Transfers
to future courses must be received in writing
on or before 10 working days before a course.
No refundwill be available once a transfer
has been made. Substitute attendees,
meeting any course pre-requisites, are allowable
until the day of the course.
I have read and understood the conditions
set above.