Booking Form

Please fill in your details below and we will contact you as soon as possible

Delegate First Name:*

Delegate Last Name:*

Date of Birth:*

Gender:

Nationality:

Position:*

Organisation:*

Address:*

Tel (Office):*

G.S.M:*

Fax:

Email:*

Alternative Email:

Course Title:*

Course Dates:*

Course Location:*

Authorised by:

Position:*

Special Dietary Requirements:*
	vegetarian / other

Do you have any special requirements?:*
	e.g. Access

Payment Method:*

Your purchase order number:

Firstname:
	If the contact details for invoicing are different from above

Surname:
	If the contact details for invoicing are different from above

Position:
	If the contact details for invoicing are different from above

Organisation:
	If the contact details for invoicing are different from above

Address:
	If the contact details for invoicing are different from above

Tel (Office):
	If the contact details for invoicing are different from above

How did you hear about us?:

I have read and understood the terms & conditions:

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When you have completed the form, please click the Send Details button ONCE to send

Connaught Gulf FZ LLC, Office 105, Block 18, 1st Floor, PO Box 500356, Knowledge Village, Dubai, UAE. Tel +971 4 3625202 Fax +971 4 3625330

All contracts formed pursuant to a request for a place on a Connaught course made using this Booking Form shall be subject to our standard Terms and Conditions and the terms set out herein.
Where these terms conflict with our standard Terms and Conditions, these terms shall prevail.
A Written Acknowledgement of Order and an invoice will be issued following receipt of a Booking Form and full payment must be made prior to the commencement or upon registration for the course, and in any case within 14 days of the date of the invoice, in order to secure your place.
Joining instructions will be forwarded prior to the commencement of the course.
Once a Booking Form has been received we regret that the transfer of a booking to another event cannot be made but a substitute delegate will be accepted before registration with accredited body.
Cancellations must be in writing and are subject to the following charges: 167.50 AED administration charge up to 4 weeks prior to the course. 50% of the fees between 4 and 1 week prior to the course. 100% fees are to be paid within 1 week of the course start date.
Connaught reserves the right to alter the content, lecturers, timing and venue of the course for reasons beyond the control of Connaught.
All courses run subject to demand.