CONTACT DETAILS - Please give your title (Mr/Mrs/Ms/Dr), your first name and your surname (last name) and your job title:

CONTACT DETAILS continued - Please give your Company/Organisation name and your FULL address (including Postcode/Zip Code and Country):

CONTACT DETAILS continued - Email and Telephone:

CONTACT DETAILS continued - Mobile and Fax:

COMPANY/ORGANISATION DETAILS - Please give any relevant website address(es) and brief information about your company/organisation:

BOOKING DETAILS - Please select the 'Introduction To Digital & Social Media Marketing' Training Course dates you wish to attend:

BOOKING DETAILS continued - Please give the full name and job title of the delegate (or delegates) for whom you are booking (state "As Above" if you have already given your details above); for multiple-bookings, where you are booking more than one delegate place, please give the details of each delegate on a separate line:

BOOKING DETAILS continued - Please state the booking code and total amount payable (inc Vat) for the package you wish to book (if booking for more than one person please give each surname, booking code and total price on a separate line):

THERE IS A CHOICE OF 3 PACKAGES PER DELEGATE (depending on whether you with to book a Non-residential place or a Residential place - requiring accommodation at the Holiday Inn Brighton-Seafront or wish to book a Non-Residential place):

• COURSE PRICE FOR DAY DELEGATES - the total cost per place is:

SECURE PAYMENT - Please state whether you are paying by Credit/Debit card (we accept payment by major Credit and Debit Cards but not by American Express) or confirm that you have already sent payment by BACS/Money Bank/Wire Transfer (if sending payment by International Bank/Wire Transfer please send it as a priority payment and pay all fees separately, to ensure the full GB Sterling amount reaches the OMTAC account):

PAYMENT BY CARD continued - Please give the full Cardholder's name as written on the Credit / Debit Card:

PAYMENT CARD continued - Please give the start and expiry dates on the Card and the Issue number (if available):

PAYMENT BY CARD continued - Please give the long number on the Card:

PAYMENT CARD continued - Please give the 3 digit Security number off the signature strip on the back of the Card:

PAYMENT BY CARD continued - Please give the FULL address (including House/road number, Postcode/Zip Code and Country) to which the card is registered if different to the Contact address given above:

THANK YOU for completing this secure booking form for the 4-Day 'Introduction To Digital & Social Media Marketing' Training Course. A confirmation email will be sent once your place has been confirmed and your payment processed. (If you do not hear from us within 3 days please email us or call us.)

Please carefully check the information given above and then click on "SAVE" below to submit your booking form. If you have any questions or comments or further information you wish to give us please provide it below or email us.