Registration Form
UK Gold Event- September 18th, 19th & 20th 2009
Please print off the form, complete the fields below and Fax to 01257 472120
International Fax. +44 1257 472120

First Name
Last Name
Address
Address
Town / City
Post Code
Country
Telephone
Email Address
Company Name
Web Address
Please Tick Appropriate Option Yes, I wish to pay in full £1797 Yes, I wish to pay in four easy payments - First payment of £457 and 3 further payments of £457 spread 30 days apart. (Credit card payments only)
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 September 18th, 19th & 20th 2009

If paying by cheque please print off the form, complete and post to :-
KTS PUBLISHING DIRECT
Suite 105 & 106
The Standish Centre
Cross Street
Standish
WIGAN  WN6 0HQ
United Kingdom
Please make all UK cheques payable to KTS PUBLISHING DIRECT