The
Institute of Vitreous Enamellers
Founded 1934 London Reg. No. 290 392
Please register the following person
for the Event or Course Selected/ticked above:
(Please use a separate form for each registration � photocopies are acceptable)
First or Given Name ��_________________________________ Mid-Initials_____
Last or Family Name ��_______________________________________________
Company Name ��__________________________________________________
Address ��_________________________________________________________
������������������_________________________________________________________
Town/City ��________________________________________________________
Post/Zip Code ��______________________
Country ��_______________________
Phone ��____________________________ Fax ��__________________________
E-mail ��____________________________
�� Web Site ��____________________
(Please
Tick One) Smoking
or Non-Smoking
(Required for Basic Approach Course
only)
(Please
Tick) For Special Dietary Requirements?
if so, please give details below and
a contact telephone number _____________________________________________
Signature for Company ��__________________ �� Date ��_____________________
The above signature implies that The
Institute or other persons will accept
no liability in respect of damage due to accident or other circumstances.
Places are limited � pre-reservations accepted now
� invoicing end January 2006
Bookings from January with full payment by post, please.
Payment Enclosed ���
______________ (as re-stated below) or Pre-reservation ____ Please Tick
Basic Course Fees (March 2006): IVE Members & Employees
of Company Members �650, Non Members �800
Thank you.
Office Use only Booking rec�d ��______________________
Ref No ��_________________Invoice No. ��________________