Booking Form: TPM Masterclass @ Molex

Booking Form: TPM Masterclass @ Molex CT9309

Please complete all fields of the booking form to secure your place on the event.

Organisation Name*
Address
Street Address City County / State / Region ZIP / Postal Code
Number of Delegates*
Delegate 1: Name*
Delegate 1: Job Title*
Delegate 1: Email*
Delegate 1: Telephone Number*
Delegate 2: Name*
Delegate 2: Job Title*
Delegate 2: Email*
Delegate 2: Telephone*
Delegate 3: Name*
Delegate 3: Job Title*
Delegate 3: Email*
Delegate 3: Telephone*
Delegate 4: Name*
Delegate 4: Job Title*
Delegate 4: Email*
Delegate 4: Telephone*
Delegate 5: Name*
Delegate 5: Job Title*
Delegate 5: Email*
Delegate 5: Telephone*
Delegate 6: Name*
Delegate 6: Job Title*
Delegate 6: Email*
Delegate 6: Telephone*
Do you require a PO number for payment to be made?
Accounts Payable email address:*
Your Purchase Order Number*

Can you please provide a PO number so this can be used to raise the invoice.
Your VAT Number:*

Please provide your VAT number. If you are a private registrant, please mark as 'Private'.
Shoe Size (Please separate with a comma if more than one)*
Coat Size (Please separate with a comma if more than one)*
If you have any dietary requirements please note them below:
Your company website address
Your sector?
Your Name (if booking on someone else's behalf)
Your title (if booking on someone else's behalf)
Your email (if booking on someone else's behalf)
How did you hear about the event*
If other, please comment
Promotion code. If you have a promotion code please enter it here:
I have read the terms and conditions including the Privacy and Cookies Policy.*
- Terms & Conditions
Places will be confirmed on receipt of payment in full. We reserve the right to refuse admission if payment has not been received in advance of the event. Notification of any substitutions should be made in writing in advance – and will potentially be subject to security clearance timeframes at host sites. Cancellations should be advised in writing and will incur an 100% cancellation fee if made within 14 days of the event. As these events take place at operational sites, it may be necessary for reasons beyond the control of the organisers to alter the content, timing or location of the event. Please ensure that any travel or accommodation bookings made in relation to your booking are flexible as S A Partners LLP can not be held liable in the event of a change or cancellation. We may from time to time photograph or film workshops for marketing purposes. Please tick this box if you are happy for us to do so. (we will still seek permission for your inclusion on the day).
Can we periodically email you the latest event and Lean news?*
- YES
- NO
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