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Enquiry / Reservation for a
Tailor-Made Programme



Name of Company, Group, University, etc
Name of Faculty, Division, Department, etc.
Contact Person(s)
Address
Tel Number
Fax Number
E-Mail Address


Please give your preferences for Arrival and Departure dates
Preference 1 Arrive :
Depart :
Preference 2 Arrive :
Depart :
Preference 3 Arrive :
Depart :


Title of Programme
Short Description
Do you have a programme outline?
Will your programme be based on a previous programme? If so, please give the date and title of the previous programme.
 


Number of participants
Number of Group Leaders
Accommodation Requested
Students Sharing :
Executive - Single :
Executive - Twin / Double :


Would you like a Banquet dinner? What is this?
If known please give details of date(s) and numbers



Coach Transfers organised by Institute?


Payment by individual participants?
Or invoice to :
(if different to address above)



Please add any other requests or remarks.



Please review all information before submitting this form.


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