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PORT AGENCY COURSE 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 :
Surname :
Given Name :
Home Address :
Address 1 [Optional] :
Address 2 [Optional] :
City :
Country :
Post Code :
Telephone No
 :
Fax [Optional] :
Mobile [Optional] :
E-mail :
BUSINESS/EMPLOYER DETAILS
Company Name :
Address 1 :
Address 2 [Optional] :
City :
Country :
Post Code :
Telephone No :
Fax [Optional] :
E-mail :
Please direct all my communications to this address  
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)

  
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