CIMA Course Booking Form - iCount Accountancy Training · 2020-02-03 · CIMA Membership No. Email...
Transcript of CIMA Course Booking Form - iCount Accountancy Training · 2020-02-03 · CIMA Membership No. Email...
CIMA Course Booking Form1. YOUR DETAILS
Surname
Forename
Date of Birth
CIMA Membership No.
Email (Primary)
Email (Addi�onal)
I have read and consent to the terms and condi�ons and privacy policy as displayed on the iCount website.
2. COURSE REQUIREMENTS
Paper Course Type Course & Time Start Date Price(e.g: BA3, P2,E3) (e.g: Taught weekend, Revision weekday) (Inclusive of VAT as per brochure)
Total inc. VAT
4. EMPLOYER
5. OTHER PAYMENT
6. OUR CONTACT DETAILS
Please save & then email your completed form to: study@icoun�raining.com
As you are self-funded, we will contact you for payment details.
Manager Name
Manager Email
Manager Telephone
PO Number
I consent to feedback on my progress being provided to my employer at their request.
Billing Address
Manager’s Signature
(Print form and obtain signature for approval to invoice)
Email for Invoice
Telephone (mobile)
3. PAYMENT
Employer to be invoiced (go to Sec�on 4) I am self-funded (go to Sec�on 5)
Please enter a delivery addressif the Course Type is either ‘Live Online’ or ‘Online’:
Delivery address