COURSE REGISTRATION FORM - JB INTERNATIONAL
Print This Page then fill in and fax to 020 8446 0555

Contact Name  
Position  
Company  
Address





Post code:                                              
Telephone:_   Fax:
Email:_  
Delegate Names Course Date Duration Fees
         
         
         
         
         
         
         
Subtotal
  
VAT(17.5%)
  
Total
  
Payment - please tick one:

Please invoice my company _____ By BACS*_______________ Cheque enclosed (postal bookings)
Please charge my credit card (for private Mastercard & Visa please add 1.75%, Business Mastercard & Visa add 2.5%, for AMEX add 3.5% to the total price).
NEVER SEND CREDIT CARD DETAILS BY EMAIL. PLEASE CALL US TO MAKE C/C PAYMENTS IF SENDING A SCANNED FORM BY EMAIL.
Contact name for Invoice/Cardholder Name:                                          PO Number:
email address for invoice/receipt:
Invoice/Cardholder address:
credit card number:






 
expiry date:
_____ / ______
3 digit security code:
(see signature strip)		  
 
Tel. No:  

AUTHORISATION
I am an authorised representative of the above named client and would like to book the services mentioned above in accordance with JB International's terms and conditions.
print name:
 signature:
 date:

FAX to  020 8446 0555 ____________Tel : 020 8446 7555
JB International Consultants Ltd, 1345 High Road, London, N20 9HR
Joining Instructions and an invoice will be sent out upon acceptance of this booking

* BACS transfers : NatWest Bank, South Kensington Station Branch, London, SW7 2LB, Sort code: 51-50-01, Account number: 83885765
Account & Legal Company name: JB International Consultants Limited VAT NO : 690983094 Company Number : 3338702