<Harrington Middle East>

Course Registeration

Course Registeration 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. 0496757352
(AED Account) Mashreq Bank Park Place Branch Dubai, U.A.E Swift., Code: BOMLAEAD

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: bmnadir@harrington-me.com
Harrington Middle East, Suite 1907, City Tower 2, Sheikh Zayed Road, P.O. Box 53793, Dubai, U.A.E.

Click here to download the Course Registeration 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.