Course Registration Form


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.

Click here to download the Registration Form
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.
     
 
Class Schedule for 2012
Please see the "Current Class Schedule
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OUR CONSULTANTS
Pat Donally
Dr. Kenneth lomax
Nadir Bendjedah
Chuck Mignosa
Doug Nelson
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Robert Perez
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