Contact EMA Solutions

Course or Webinar Title:	Ref # If applicable
Date:
Your Name:
Job Title:
Organisation Name:
Address:
Postcode:
Telephone:	Fax:
Email:
Please inform us if you have any:
DIETARY OR SPECIAL NEEDS REQUIREMENTS
Registration fee for courses £275.00 Registration fee for webinars £79.00 Inclusive of course papers, materials and toolkit All fees are payable in advance of the course or webinar.
I would like to claim 25% discount for attending 2 or more courses: Yes: No:
Please invoice the accounts department: Yes: No:
Purchase order number (if applicable):
Accounts department contact:
Documentation – Cannot Attend? – Don’t miss out If you are unable to attend the course we are happy to offer the course materials documentation as a paper version. Please send or fax this form to us confirming contact and payment details as above.
Please send me ……………paper set(s) only @ £100.00 per set: Yes: No: