Registration Form

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SEMINAR– FAX REGISTRATION FORM
Winston House, 2 Dollis Park, London, N3 1HF, United Kingdom
T: +44 (0) 208 457 9111
F: +44 (0) 208 457 9222 E: info@renful.co.uk
or post to Renful at the above address
I wish to attend the following Seminars:
□ Security Design, Techniques and Management Solutions (All Modules) (GBP 600.00)
□ Security Design, Techniques and Management Solutions Module 1 - Passenger Profiling
using Behavioural Patterns Analysis (SGD 810.00)
□ Security Design, Techniques and Management Solutions Module 2 - Training Management
and Screener Compliance (SGD 540.00)
Name:
Organisation:
Card registration Address 1:
Card Registration Address 2:
Card registration Address 3:
Card registration Post Code:
Telephone:
E-mail:
Position:
Fax:
□ I enclose a cheque/bankers draft for GBP □□□□.□□made payable to
Renful Premier Technologies
Credit Card Holder’s Name (Mr /Mrs /Ms):
□ Please charge my Credit Card in the sum of GBP □□□□.□□
Card Type : VISA □ MASTERCARD □ EUROCARD □
AMEX □ (+3% processing fee)
Valid From: □□ /□□ Expiry Date: □□ / □□ Security code: □□□
Credit Card No:
Date:
1.
2.
3.
□□□□ - □□□□ - □□□□ - □□□□
Signature:
Terms and Conditions
A place will be reserved for you upon receipt of your Registration Form. Registration shall be confirmed
only upon payment of the seminar fee.
Cancellations must be made in writing at least 14 days prior to the commencement of the seminar. We
cannot give refunds for cancellation within 14 days of the seminar date, but will transfer your registration
to the next available seminar. Confirmed delegates may be substituted prior to the commencement of the
seminar at no extra cost.
We reserve the right to make any amendments and/or changes to the seminar program if warranted by
circumstances beyond our control.
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