The Practical Essentials of GC, The GC Clinic & Complete GC Training Courses Booking Form Please complete the following details and email to: mbarnes@amoebasciences.eu * Must be completed before the booking is accepted and the place(s) reserved. Primary delegate details: Full name*: Organisation*: Full address*: Telephone number*: Fax number: Email address*: Delegate listing: Please tick if you are NOT happy for your telephone and email details to be listed in the delegate listing Access requirements (please tick): Wheelchair user: Other (please specify): Dietary requirements (please tick): Vegetarian: Vegan: Other (please specify): Group bookings: All delegates must have the same company details as the primary delegate and be attending the same course at the same location. The 4th delegate will have a complimentary place. For a total of more than 4 delegates please use a separate form. Delegate name: Email address: Delegate listing: Access requirements: Dietary requirements: Training course location*: The 5-day Complete GC course can be split into two different locations, please tick a box for each part. Please note the 3-day Practical Essentials of GC basic course must be completed before the 2-day The GC Clinic advanced course. Location Country Dates 1-day tick Milton Keynes Eindhoven Prague Newcastle Stockholm Dublin Barcelona Berlin UK The Netherlands Czech Republic UK Sweden Ireland Spain Germany 10-14th September 2007 15-19th October 2007 26-30th November 2007 14-18th January 2008 25-29th February 2008 7-11th April 2008 19-23rd May 2008 30th June- 4th July 2008 Page 1 of 2 3-day basic tick 2-day advanced tick Training course* (please tick which course you would like to attend): If booking multiple 1-day courses in different locations please specify which location for each 1-day course in the further information section below. Length Day(s) Cost excl. VAT** tick Cost excl. VAT** tick (individual) (group of 4) GBP Euros GBP Euros 1 day Monday (sample introduction) £200 €350 £600 €900 1 day Tuesday (GC & detectors) £200 €350 £600 €900 1 day Wednesday (sampling) £200 €350 £600 €900 1 day Thursday (method development) £200 €350 £600 €900 1 day Friday (troubleshooting & maintenance) £200 €350 £600 €900 3 day Monday – Wednesday £500 €750 £1500 €2250 Practical Essentials of GC course 2 day Thursday – Friday £350 €525 £1050 €1575 The GC Clinic course 5 day Monday – Friday Complete GC course £800 €1200 £2400 €3600 Total cost (excluding VAT @ 17.5%): ** VAT will be charged on top of the course cost at the UK Standard Rate of 17.5%. Method of payment: Your company will be invoiced for the total cost of the courses plus VAT, please provide the following invoicing details: Purchase Order Number*: Contact name*: Address*: Telephone number*: Email address*: Please tick: I have read and agree to the terms and conditions as set out below*: Which company did you hear about this training course from?* Further information: please enter any further details we should be aware of or questions you may have: After we have received this form you will be sent a receipt of your course booking and a pre-course questionnaire. Information on course venues, cheap hotel rates, airlines and course venue directions will then follow later by email. If you have any questions about this booking please contact Martine Barnes at mbarnes@amoebasciences.eu Applicable Terms and Conditions 1. Offers cannot be combined and are valid for a limited time up until 1 month before the Practical Essentials of GC start date. 2. The 4 for the price of 3 offer is only valid for 4 people attending the same course at the same location. 3. All courses and material will be presented in native English language using high visual content. If language problems arise, we will endeavour to do all we can to support analysts. However, we cannot provide alternative language or translation services. 4. All course attendees are requested to complete a pre-course questionnaire in order to ascertain the level of knowledge and English language. Contact will be made by the course instructor in case of any concerns prior to the course. 5. A minimum of 15 attendees will be required for a course to proceed; A maximum of 60 analysts will be accommodated on any course at any one time. 6. All payment for courses must be received in advance of attendance of the course. Offers are made as specified. 7. Anthias Consulting Ltd and Amoeba Sciences are not responsible for flights or hotel bookings or their cancellation policies. Course attendees therefore book flights and hotels at their own risk. 8.Course cancellation will incur a penalty of a deductible amount per person: -50% up to 8 weeks before the course; -75% up to 4 weeks before the course; -100% up to 2 weeks before the course. Under exceptional circumstances, an alternative course may be offered without the incurring any penalty. 9. Anthias Consulting Ltd and Amoeba Sciences Ltd reserve the right to cancel a course with a full refund of course fees, or provision of an acceptable alternative course, due to under subscription or other unforeseeable circumstances without incurring any due penalty. Course attendees are to be notified at least 2 weeks in advance by email of any changes to the course schedule for which they have registered. Consulting Ltd and Amoeba Sciences Ltd will not however be liable for any costs incurred by airlines or hotels as a result of any changes. Page 2 of 2