BUSINESS RISK MANAGEMENT LTD

BRM Course Booking Form

Full Name: _______________________________________________

Company:

_______________________________________________
Address: _______________________________________________
_______________________________________________
City: _______________________________________________
County/State: ____________________   Postcode:_________________
Country: _______________________________________________
Phone: _____________________   Fax:_____________________
E-Mail: _______________________________________________
Course Name: _______________________________________________
Course Date: ___________________   Number Of Delegates:________
Additional Delegates   Full Names:  _______________________________________________
_______________________________________________
Special Dietary   Requirements: _______________________________________________
Cost Per Delegate: __________    Total Amount Due: __________
Additional Comments:  _______________________________________________
_______________________________________________
_______________________________________________


Please send completed booking for to the following address.

Business Risk Management Ltd
PO Box 116    Ashton-Under-Lyne
Lancashire    OL6 8YX    United Kingdom
Phone: +44(0)1613393898    Fax: +44(0)1612415345

All bookings are subject to the BRM Ltd Booking Terms & Conditions found at http://www.businessrisk.co.uk