Course Evaluation Form

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Registration Form. Please bear in mind ... An international bank transfer of €550 to the AviAssist Foundation's bank a
IATA Dangerous Goods 2014 - course 17-21 March 2014, Entebbe, Uganda Registration Form Please bear in mind that the course fee of €550 includes your own copy of the 2014 IATA Dangerous Goods regulations to take home and you’ll need that to work with Dangerous Goods – a book worth €200 on its own! This means that the course fee itself is only €350 for an intensive 5 day course!! Particulars of delegate in the IATA Dangerous Goods course

Name:

Title:

Designation in organisation: Present employer: Email:

Mobile phone no.:

I hereby agree (tick the appropriate box) to pay the delegate course fee (to be paid in Euros) in one of the three following ways:



1. An international bank transfer of €550 to the AviAssist Foundation's bank account: Rabobank Account number: 141.807.709 IBAN: NL40RABO0141807709 BIC: RABONL2U Please make sure to mention the delegate’s name and the name of your organisation.



2. A Western Union or Moneygram Money Transfer of €550 to: Mr. Tom Kok, Constantine, United Kingdom When asked for a test question, please use: Question: ‘since when is the AviAssist Foundation in operation? Answer: ‘1995’ Send the Money Transfer Control Number from Western Union to [email protected]



3. Cash payment of €550 in cash Euros upon registration at the venue but remember: No payment at start of the first day = no access to lunch, no access to days 2-5 and no certificate

Date: Signature applicant:

Place:

Send the completed and signed form to the AviAssist Foundation to [email protected] or by fax at +31 84 832.5185 by the close of business of the 17th of January 2014 to secure a place. Our courses usually fill up soon and are populated on a ‘first come – first serve’ basis. Don’t get caught out and register early.

In co-operation with :

and others