Short Course Registration Form

To register for a course via the web, fill in the form below and submit it. Alternatively, print out the registration form (PDF file) then post or fax it to us. Click here for contact details.

 

Course details
Which course(s) do you wish to attend?
required

Applicant's details
Preferred salutation:
Surname / family name: required
First name / given name / initials: required
Job title:
e-mail address: required
Direct telephone:

Institute/Company
Organisation name:
Department:
Address: required
Postcode:
Country: required
Telephone: required
Fax:
Contact person (for invoicing):
Invoicing address
(and Purchase Order Number, if needed): 		required

To help our planning

How did you hear about this course?

 

required

Please list the statistics and/or spreadsheet software that you use:
Have you any special (e.g. dietary, accessibility) requirements:

Do you wish to apply for the academic discount?

If so, please provide supporting information.
 
Our normal practice is to post you our short course brochure at the start of each year. Are you happy with this?  Yes  No
Occasionally we e-mail previous participants about forthcoming courses. May we use your e-mail address for this purpose?  Yes  No
 
Please confirm that you have read and accept the Terms and Conditions for SSC courses. required

 

Last up 21 May, 2012 11