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Registration form

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Rate Cost Please tick
Corporate accredited firm Label  
APIL member Label  
Non-member Label  
Name   APIL no.  
Firm   Address  
Email  
Please note that acknowledgement letters and final instructions will now be sent by e-mail
Tel   Fax  
Additional requirements
(including dietary)
 
Please note that all dietary requirements can be catered for with prior notice, although if there is an additional charge for this by the venue or this has to be sourced externally, the charge will be passed onto the delegate
I enclose a cheque for £ payable to APIL
Please charge my credit/debit card with the amount of £
My card number is:        
Name on card   Valid date   Expiry date  
Address     Security code  
Signature  
Date  

By registering for this event, you are confirming that you have accepted APIL’s terms and conditions which can be found at www.apil.org.uk/terms-and-conditions

Please return your completed form to: APIL, 3 Alder Court, Rennie Hogg Road, Nottingham, NG2 1RX
Tel: 0115 943 5400 | Fax: 0115 958 0885 | Email: training@apil.org.uk