Search
LINER BUSINESS BOOKING FORM
INSTITUTE OF CHARTERED SHIPBROKERS
Please complete this form and send with your payment to ICS Training Department.
85 Gracechurch Street, London EC3V 0AA, Telephone : +44(0)20 7623 1111, Fax: +44(0)20 7623 8118.
E-mail:
training@ics.org.uk
PERSONAL DETAILS
Title
:
--Select--
Mr
Mrs
Miss
Capt
Surname
:
Given Name
:
Home Address
:
Address 1 [Optional]
:
Address 2 [Optional]
:
City
:
Country
:
--Select--
Alaska
Albania
Algeria
Angola
Antigua
Argentina
Aruba
Australia
Azores
Bahamas
Bahrain
Bangladesh
Belgium
Belize
Benin
Bermuda
Bonaire
Bosnia & Herzegovina
Brazil
Bulgaria
Burkina Faso
Burma
Cambodia
Cameroon
Canada
Canary Islands
Cape Verde
Channel Island
Chile
China
Colombia
Comoros
Congo(Dem Rep of)
Congo(Rep Of)
Costa Rica
Cote dlovoire
Croatia
Cuba
Cyprus
Denmark
Djibouti
Dominican Republic
Dutch Antilles
Ecuador
Egypt
EI Salvador
England
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji Islands
Finland
France
French Guiana
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Great Britain
Greece
Green Land
Grenada
Guadeloupe
Guam Island
Guatemala
Guinea
Guinea Bissau
Guyana
Haiti
Hawaii
Honduras
Hong Kong S.A.R., PR China
Iceland
India
Indonesia
Iran
Iraq
Ireland (U.K)
Ireland(Republic Of)
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kampuchena
Kenya
Kiribati
Korea (North)
Korea (Republic of)
Kuwait
Latvia
Lebanon
Leeward Island
Liberia
Libya
Lithuania
Macau
Macediona(FYRO)
Madagascar
Madeira
Malaysia
Maldives Island
Mali
Malta
Martinique
Mauritania
Mauritius
Mexico
Monaco
Morocco
Mozambique
Myanmar(Burma)
Namibia
Nepal
Netherland Antilities
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman (Sultanate of)
Pakistan
Panama
Papua New Guinea
Paraguay
Peru
Phillippines
Poland
Portugal
Puerto Rico
Quatar
Romania
Russia (Black Sea)
Samoan
Sao Tome & Principal
Saudi Arabia
Scotland
Senegal
Serbia and Montenegro
Sierra Leone
Singapore
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
Spain
Sri Lanka
St.Eustatins
Sudan
Surinam
Sweden
Syria
Tahiti
Taiwan
Tanzania
Thailand
Togo
Tonga
Trinidad & Tobago
Turkey
Ukraine
United Arab Emirates
United Kingdom
United States Gulf
United States N. Atlantic
United States S. Atlantic
United States West
Uruguay
Venezuela
Vietnam
Wales
Windward Island
Yemen Republic of
Zaire
Zanzibar
Post Code
:
Telephone No
:
Fax [Optional]
:
Mobile [Optional]
:
E-mail
:
BUSINESS/EMPLOYER DETAILS
Company Name
:
Address 1
:
Address 2 [Optional]
:
City
:
Country
:
--Select--
Alaska
Albania
Algeria
Angola
Antigua
Argentina
Aruba
Australia
Azores
Bahamas
Bahrain
Bangladesh
Belgium
Belize
Benin
Bermuda
Bonaire
Bosnia & Herzegovina
Brazil
Bulgaria
Burkina Faso
Burma
Cambodia
Cameroon
Canada
Canary Islands
Cape Verde
Channel Island
Chile
China
Colombia
Comoros
Congo(Dem Rep of)
Congo(Rep Of)
Costa Rica
Cote dlovoire
Croatia
Cuba
Cyprus
Denmark
Djibouti
Dominican Republic
Dutch Antilles
Ecuador
Egypt
EI Salvador
England
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji Islands
Finland
France
French Guiana
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Great Britain
Greece
Green Land
Grenada
Guadeloupe
Guam Island
Guatemala
Guinea
Guinea Bissau
Guyana
Haiti
Hawaii
Honduras
Hong Kong S.A.R., PR China
Iceland
India
Indonesia
Iran
Iraq
Ireland (U.K)
Ireland(Republic Of)
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kampuchena
Kenya
Kiribati
Korea (North)
Korea (Republic of)
Kuwait
Latvia
Lebanon
Leeward Island
Liberia
Libya
Lithuania
Macau
Macediona(FYRO)
Madagascar
Madeira
Malaysia
Maldives Island
Mali
Malta
Martinique
Mauritania
Mauritius
Mexico
Monaco
Morocco
Mozambique
Myanmar(Burma)
Namibia
Nepal
Netherland Antilities
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman (Sultanate of)
Pakistan
Panama
Papua New Guinea
Paraguay
Peru
Phillippines
Poland
Portugal
Puerto Rico
Quatar
Romania
Russia (Black Sea)
Samoan
Sao Tome & Principal
Saudi Arabia
Scotland
Senegal
Serbia and Montenegro
Sierra Leone
Singapore
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
Spain
Sri Lanka
St.Eustatins
Sudan
Surinam
Sweden
Syria
Tahiti
Taiwan
Tanzania
Thailand
Togo
Tonga
Trinidad & Tobago
Turkey
Ukraine
United Arab Emirates
United Kingdom
United States Gulf
United States N. Atlantic
United States S. Atlantic
United States West
Uruguay
Venezuela
Vietnam
Wales
Windward Island
Yemen Republic of
Zaire
Zanzibar
Post Code
:
Telephone No
:
Fax [Optional]
:
E-mail
:
Please direct all communications to this address
Home
Business
Date of Course
:
Number of candidates attending - Members/Non Members
:
Fees - Members (£)
:
195
Fees - Non Members (£)
:
245
VAT Registration No.
:
GB 447014370
Company Registration No.
:
RC000249
VAT ZERO RATED
:
TOTAL AMOUNT PAYABLE
:
£
Remittance, payable to TUTORSHIP, must be in Sterling, no other currency will be accepted. Remit either by Cheque drawn on a Bank with a U.K. Branch or by a Bank Transfer ensuring that TutorShip receives the Gross Amount (i.e. ALL CHARGES FOR YOUR ACCOUNT).
Bank Details :
National Westminster Bank PLC. (Bishop's Gate Branch)
Bank Sort Code :
50 00 00
Account Number :
15479323
Institute of Chartered Shipbrokers - Tutorship
METHODS OF PAYMENT
Payment details
Cheque
Bank Transfer
Credit/Debit Card
Credit/Debit Card Details
Name on card
:
Number
:
Security No
:
Expiry Date
:
(MM/YY)
Issue Number (Debit card only)
:
3% commission will be charged on all card transactions.(AMEX not accepted)
Cheque Details
Name of Bank
:
Sort Code
:
Cheque No
:
Bank Transfer Details
Name of Bank
:
Transaction ID
:
Contact Us
|
Site Map
|
Links
Quantum BSO @ Copyright 2006
Last Updated On: February 14 2006