Dale Carnegie Training

ENROLMENT FORM

Surname
Name
Address
Postal Code	City
Phone:
Age
Company
Position
Phone (business)
E-mail ( privete)
E-mail (business)

If employer pays for this training:

Company name
Address
Postal Code	City
Phone
Name supervisor
Direct number
E-mail supervisor
Your ordernumber

Billing information, if divergent

Department
Address
Postal Code	City
Phone

undersigned enrols:
	oneself
	aforementioned participant
for joining in:
	Dale Carnegie Course	Your investment: € 1.800,- (ex VAT)
	Sales Advantage Training	Your investment: € 1.800,- (ex VAT)
	Leadership Training for Managers	Your investment: € 1.800,- (ex VAT)
	High Impact Presentations	Your investment: € 1.950,- (ex VAT)
Start date
(If no date is given, we will invite you to attend the next training)

If desired you can pay with creditcard. vult u dan ook het onderstaande in.
	Name on card:
	Credit Card :
	Card Number :
	Verification code :
	Expiry Date :

The invoice for sum to be paid will be sent to the invoice address as filled in above.

On each enrolment the General Conditions of Dale Carnegie Benelux apply. This requires that the payment should be fulfilled within 30 days after invoice date and prior to the first day of training to bank account 67 48 31 640. In case of cancellation more than two weeks prior to the first day of traininga restitution of 50% of the participant fee is given. In case of cancellation less than two weeks prior to the first day of training no restitution is given. If applicable one can choose to let a replacement participant join for which additional costs of € 150,- will be charged.