Cyber Security Training Course Offline Invoice Form If you have any queries please contact the conference department on tel: +44 (0)20 7235 4622 or email: Once this form has been submitted and processed by the Conference Department an invoice (PDF file) will be sent to the e-mail address given in the invoice address below. Terms & Conditions Payment must be made in pounds sterling by Eurocheque, cheque drawn on a bank with a UK branch address, credit card (VISA/AMEX/Mastercard) or bank transfer. Please note RINA requires payment before the conference date. Please fill in your details below to register for Cyber Security Training Course : Title (Mr, Mrs, Dr, Capt, etc):* First Name:* Family Name:* Job title/Position:* Company:* VAT number: UK RINA members Single module please mention module number below £90+VAT=£108: Single Module Number: 1 2 3 4 5 UK Non members Single module please mention name below £135+VAT= £162: Single Module Number: 1 2 3 4 5 UK Members All modules £400+VAT= £480: EU B2B RINA members Single Module £90-(Please mention module number below) Please include VAT number: Single Module Number: 1 2 3 4 5 EU B2B RINA members All modules (Please include VAT number) £400: EU B2B Non members Single Module -Please list module number below £135 (Please include VAT number): Single Module Number: 1 2 3 4 5 EU B2B RINA members All Modules -Please include VAT number £400: EU B2C Members £90+VAT=£108 Please list module number below: Single Module Number: 1 2 3 4 5 EU B2C Members All modules- £400+VAT=£480: Single Module Number: 1 2 3 4 5 EU Non Member B2C-All modules £600+VAT £720: RINA members (rest of the world) Single Module-Please list module number below £90: Single Module Number: 1 2 3 4 5 Non members (rest of the world) Single module-Please list module number below £135: Single Module Number: 1 2 3 4 5 RINA members (rest of the world) All module: £400: Non members (rest of the world) All Modules £600: I accept the Terms and Conditions (please tick box): yes no Please do not pass my information to any third party: yes no I would like to receive email notification of future RINA activities: yes no Enter not this field: Invoice Address: Company Purchase Order Number: Invoice Address line 1:* Address line 2: City/Town:* Postal/Zip code:* Country:* Telephone number (include area and country code):* Fax number (include area and country code): Email address:* Contact Mailing address (if different): Contact Address line 1: Address line 2: City/Town: Postal/Zip code: Country: Telephone number (include area and country code): Email Address: *Indicates a field you must enter. When you have completed the form, please click the Send Details button ONCE to send Send Details
