Untitled Document
Book a Seminar
Seminar Date:
10/06/2008
Seminar Location:
City of Derry Hotel, Queen’s Qy, L/Derry
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Mr/s, First, Surname:
*
Private Address:
*
Your pref Phone No:
Additional Delegates
1
2
3
4
Your Business Name /Address / WebSite or any other relevant info :
This is 100% confidential, but a little background on yourself and any issues you would like addressed allows us to tailor the seminar to the audience.
Your Relation to it:
eg Owner, MD etc
Your E-mail:
*
For reminders & updates
How did you hear about us:
Email
Google
Search Engine
Leaflet
Sunday Business Post
Irish Times
Other
If other/referral please specify:
