Short Course Application Form

Please complete and print out this form, then post or fax it to us. This form will NOT be sent electronically.

I would like to reserve places for

Personal Details

Title:
First Name:
Surname:
Company/ Organisation:
Position:
Address:
Telephone:
Fax:
E-mail:
Special Dietary Requirements:
How did you hear of us?

Payment Method

Purchase Order No.
Credit/Debit Card number:
Cheque:	Please make cheques payable to: The University of Surrey
Company VAT no:	(As an educational establishment we do not charge VAT)
Training Manager Approval	Signature: ___________________________________

Credit Card Payments.

We can accept payment by credit card. However, these take time to process and can hold up registration, particularly in the case of overseas attendees where a VISA application is required. Therefore, when faxing us credit card details please include the following:

Full name on credit card. This must be your own name or that of your company.
Type of card.
Start date (if stated on the card) and Expiry Date of card
Card number:
3-digit security code (found on the back of the card).

We cannot process your card without these details

Please fax these details to the CE Office fax line on +44(0) 1483 686040

Fax or Post

If paying by cheque, please complete and print out this form, then post it with your cheque to

Mrs Barbara Steel
CE Office
School of Electronics & Physical Sciences
University of Surrey
Guildford, Surrey
GU2 7XH

If paying by Purchase Order or Credit/Debit card, please complete and print out this form, then fax it to

Continuing Educaction Office:
Fax: 01483 686041

Terms and Conditions

Provisional Bookings
Delegates can make a provisional registration for a course by telephone or email. However bookings are only acknowledged formally once payment has been received.

Cancellations notified in writing 10 working days or more before the event
We charge a cancellation fee of 25% of the standard rate. If we have already received payment we refund 75% of the full fee.

Cancellations within 10 working days before the event
We charge these at the full rate and do not give refunds

Substitutions
You can make substitutions at any time before the event.

Cancellation by the University
We reserve the right to cancel any course because of insufficient numbers or for other reasons beyond our control.