E-Learning Awards Entry Form

 

Please complete the form below to register your entries.  Each individual entry costs £135 plus VAT and you can enter more than once in as many categories as you like.

 

To enter multiple categories simply hold the CTRL button down and click on the categories you wish to enter).  

 

Please note all fees are non refundable regardless of whether a final submission is actually made.  Please ensure you have read the terms and conditions of entry.  By submitting this form you are deemed to have accepted those terms and conditions.

 

We accept VISA or Mastercard only.  We do not accept American Express.

 

 

Awards Entry Form

* indicates mandatory field

'Name(s) of nominee organisations*:  
This should be your organisation name and your client name


Awards entered* (to select multiple awards hold down the ctrl key and click items):



Title*:  
Forenames*:  
Surname*:  
Job title:
Organisation*:  
Address 1*:  
Address 2:
Address 3:
Town/City:
County:
Postcode*:  
Country:
 
Tel*:  
Email*:  
Twitter:
Do you use Facebook:
Website(s):
Card type:
Credit card number:
Name on card:
Expiry date:
Security number (Last 3 digits):
Card holder address 1:
Card holder address 2:
Card holder address 3:
Card holder town/city:
Card holder county:
Card holder postcode:
Card holder country:
 
Do you need an invoice:
PO Number:
Invoice Address 1
(If different from organisation):
Invoice Address 2:
Invoice Address 3:
Invoice town/city:
Invoice County:
Invoice Postcode:
Invoice Country:
Source:
If other please specify:
 
Job role:
Number of employees:
Industry type:
Training budget:
Allow email correspondence
from other organisations:
Allow correspondence
from other organisations: