Transcript Slide 1

Registration Form
FESI 1 Day CPD Workshop - 23 September 2014
(Registration Closing date: 18 September 2014)
Sponsored by
Advances in Rolling Bearing Fatigue
DELEGATE DETAILS
Title
First Name
Last Name
CONTACT DETAILS
Contact Name (if different from
above):
Co./Org. Name:
Address:
Post Code:
Fax:
Tel:
E-mail Address:
Authorised Signature:
Date:
PRICES
Registration price includes lunch, morning and afternoon refreshments and workbook
• Cost per delegate: £170 + VAT (£204.00)
• Cost per member: £130 + VAT (£156.00)
Please tick all
appropriate
boxes
• Student rate: £60 + VAT (£72.00)
PAYMENT DETAILS
I enclose a cheque for: £
made payable to FESI Ltd
Please invoice my Co./Org. – Purchase Order Number:
Our VAT No.:
(£10 + VAT admin charge will be added)
Credit Card no. (Visa/Mastercard only):
Cardholder Name:
3 digit security number:
Cardholder/Invoice address (if different from above):
Post Code:
Cardholder Signature:
SEND COMPLETED FORM TO
Poul Gosney
FESI – UK Forum for Engineering Structural Integrity
Whittle House, 410 the Quadrant,
Warrington, WA3 6FW, UK
T: +44 (0)1925 843429, F: +44 (0)1925843498, E: [email protected]
Expiry date: