*Course Name:
*Course Date:
*To be held in
Special Requirements
*Company:
Order No:(If Applicable)
*Postal Address:
*Person(s) Attending
First Name
Last Name
Position
Email Address
#1
#2
#3
#4
#5
#6
*Contact Person:
How would you liketo be contacted?
EmailPhoneFaxPost
*E-Mail
*Fax:
*Phone:
Post:
Same as above
*
Denotes required fields
(Please ensure all these areas are completed)
Credit card Payment:If you wish to use your credit card for payment, simply fax your signed order including your credit card number, name on card and expiry date to 09 367 0951.
Course Cancellation Policy - Transfers - Refunds:EMA requires five clear working days notice of a cancellation to allow for a refund. Unless otherwise stated a 10% administration charge will apply. If you are unable to give such notice you may arrange another person to attend in your place. Unless such notice is given, full conference fees are payable and refunds will not be given. However you can still receive the conference documentation.
EMA reserves the right to add, reschedule or substitute speakers and/or vary advertised programs, prices and venues.
Should a conference or event fail to attract a required minimum number of participants we reserve the right to cancel it.
For full terms and conditions click here
For further information please contact our Learning Department:E-mail: learn@ema.co.nzPhone: (09) 367 0959 or (0800) 800 362
