5-Day Innovation Mini MBA Registration Form

(Please email this form to: Nathanael.Davdson@knect365.com)

Course Title: Course Date:

Title: Company Name:

First Name: Company Address:

Last Name: Town:

Job Title: County/State:

Department: Postcode:

Direct Telephone number: Country:

Email: Nature Of Business:

How did you find out about the course? E-mail

Please note that at least one contact other than yourself is

necessary for registration - should we have trouble reaching you.

Booking Contact or Approving Manager:

Job Title:

Email:

BILLING DETAILS (If different to Delegate Address)

Please send invoice to: Price:

Company Name: Payment Method:

Position:

Address :
If you wish to pay by credit card, please contact
Nathanael Davidson +44207 017 5430
Telephone:

Email:

Cancellation Terms & Privacy Policy can be found here: Cancellation, Transfer and Refunds
If a student fails to attend for any reason, withdraws or transfers from a course without providing at
least fifteen (15) UK working days’ written notice prior to the scheduled start date of the course,
then the purchaser agrees to pay the following fees:

Written Notice of Cancellation or Transfer for Scheduled Public Courses

 15-11 UK working days = 40% of course fee

 0-10 UK working days = 100% of course fee

Please note, a cancellation fee in this respect, refers to a specific course date, and therefore a
transfer to a later course counts as a cancellation. If the purchaser proposes a suitable replacement
participant - subject to the standard admission process for that part particular course (if any) - then
no cancellation fee will apply.

Courses may be subject to late change or cancellation for operational reasons. If we cancel a course
for whatever reason, we will refund the cost of the course, but we are not liable for any other costs,
including travel and accommodation. Of course, in these circumstances, every effort will be made to
offer alternative dates.

Visas

It is the responsibility of the purchaser or participant to determine if a travel visa is required before
registering for any training course, to ensure there is enough time for it to be issued, and
subsequently to apply to the appropriate agency in good time.

Once full payment has been received, we will issue a Letter of Invitation if requested. Please indicate
if this is required clearly at the point of registration.

In the event that a student is not able attend training due to visa issues (of whatever nature), then
our standard “Cancellations, Transfers and Refunds” terms and conditions apply, unless it can be
proved to our satisfaction that:

1. It was indicated at the time of registration that a visa had to be applied for.

2. The visa application was submitted in good time for the application to be processed and
visa issued prior to expected travel date. (Standard visa processing time frames,
published at the time of visa request submission, on the appropriate agency’s website
will be used in case of doubt).
I have read and accept the above terms and conditions:

Yes, I require an invitation letter (please tick) ---------

No, I do not require an invitation letter (please tick) ----------

Name: _________________________________________________

Print: _________________________________________________

Job Title: _________________________________________________

Date: ____________________________

Data Protection

I give permission for my contact details to be added onto the database and to be shared with
companies in the Informa Telecoms and Media Group.

Sometimes your details may be made available to external companies for marketing purposes – if
you do not wish this to happen please say so below.

Please delete as appropriate:

 No / Yes to Informa Telecoms & Media communications

 No / Yes to 3rd Party