Academy of IR Registration Form - Employers Consultative Association of Trinidad and Tobago

Select Programme(*)

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How did you hear about this programme?(*)

Direct Email/Call

Referral

Social Media

Newspaper Ad

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Who is funding the Course?(*)

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Personal Information

Full Name(*)

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Address(*)

Please type your Company Address.

Phone Number(*)

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Mobile

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Email(*)

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Date of Birth(*)

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Company Information. --Complete this section only if a Company is to be invoiced--

Company Name

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Company Address

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Contact Person(*)

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Phone Number(*)

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Fax Number

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Contact Person Email(*)

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Attendees Information

Attendee 1(*)

Please type your full name.

Attendee 1 Email(*)

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Position(*)

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Attendee 1 Date of Birth(*)

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Attendee 2

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Attendee 2 Email

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Position

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Attendee 2 Date of Birth

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Attendee 3

Please type your full name.

Attendee 3 Email

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Position

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Attendee 3 Date of Birth

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Please list additional attendees (include job titles and email addresses)

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TERMS

Payment in full is required before the start of this programme, or in accordance with agreed payment terms.
Cancellation within two (2) working days (or less) of the start of this programme will incur liability for 25% of the full programme cost.
Withdrawal after commencement and up to week five (5) will incur liability for 50% of the full programme cost. Withdrawal after week five (5) will incur liability for 100% of the full programme cost.
All cancellations should be communicated via email to sreece@employerssolutiontt.com or communications@ecatt.org

By entering your name below, you certify that you have read and agreed to all terms and that all statements on this registration are true and correct

Full Name

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TERMS

Payment in full is required before the start of this programme, or in accordance with agreed payment terms.
Cancellation within two (2) working days (or less) of the start of this programme will incur liability for 25% of the full programme cost.
Withdrawal after commencement and up to week five (5) will incur liability for 50% of the full programme cost. Withdrawal after week five (5) will incur liability for 100% of the full programme cost.
All cancellations should be communicated via email to sreece@employerssolutiontt.com or communications@ecatt.org

By entering your name below, you certify that you have read and agreed to all terms and that all statements on this registration are true and correct

Name of Person Authorising this Registration

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Position

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How would you like to pay?(*)

Online Bank Transfer

Linx/Credit Card (in office only)

Cash (please provide exact change)

Cheque

Will you be using a payment plan?(*)

Yes

No

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Downpayment required on or before the start of the programme. Balance to be paid in two (2) equal instalments before completion of the programme

Captcha(*)

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Academy of Industrial Relations Registration Form