Registration
Form
UK Gold Event- November 14th, 15th & 16th 2008
Please print off the form, complete the fields below and Fax to
01257 472120
Intenational Fax. +44 1257 472120
| First Name | |
| Last Name | |
| Address | |
| Address | |
| Town / City | |
| Post Code | |
| Country | |
| Telephone | |
| Email Address | |
| Company Name | |
| Web Address | |
|
Yes, I wish to pay in full £1497 Yes, I wish to pay in three easy payments - One payment of £435 and 2 further payments of £499 spread 30 days apart |
|
| Payment Method |
Cheque / Visa / Mastercard / Maestro- delete
as appropriate Please make all cheques payable to KTS Publishing Direct |
| Name on Card | |
| Card Number | |
| CVV / 3 Digits on signature strip | |
| Start Date | |
| Expiry Date | |
| Issue Number Maestro Only | |
| Event: | UK Gold Event November 14th, 15th & 16th 2008 |