Membership form

Purchase Summary

Product:Kaplan Hawksmere Membership
Price:GBP 950.00 + VAT @ 17.5% = GBP 1116.25
Save 5%!Use the direct debit payment option below and we will deduct 5% from the membership fee

Please enter your contact details below. If you have one, please enter your purchase order number, we will then quote this on our correspondence with you.

Contact details

DENOTES REQUIRED FIELDS

If you have one, please enter your purchase order number, we will then quote this on our correspondence with you.

Please note that your invoice will be sent to this contact.

Purchase order:
Title:
First name:
Last name:
Job title:
Department:
Organisation:
Address line 1:
Address line 2:
Address line 3:
Town:
County:
Postcode:
Country:
Telephone:
Fax:
Email:

Training Manager

All employees in your organisation can benefit from this membership and take advantage of the discounts. Please provide your training manager's details as a point of contact for your organisation.

Title:
First name:
Last name:
Job title:
Email:

Further information

Brochure reference
number: /
Your brochure reference number is on the top right hand corner of the booking form on your brochure, please quote this reference when making a booking as it enables us to track your booking method for future use.
No of employees:
How did you hear about us:

Proceed

The details you provide will be held on Hawksmere's database and will be used to promote other products and services that may be of interest from Hawksmere Ltd. On occasion they may be made available to external companies for marketing purposes.

If you do not wish to receive promotional material from other organisations, please tick here

Terms: I have read and agree to the terms and conditions of membership
Pay via invoice
I will pay by BACS or cheque
Pay via credit card
I will pay online now by credit card
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