Firebrand Cursus registratie

Enrolment details

Course attending (Change course)

Course date*

Please select a course date

Split weeks (only relevant for selected courses of more than 7 days duration)

How did you hear about Firebrand Training?*

Please tell us how you found Firebrand Training.

Who was your contact at Firebrand Training?*

Please indicate your contact at Firebrand Training.

If you were referred by a Firebrand Training student, please enter their name

Student information

Where applicable, this is where your pre-reading material will be sent. If you are self-funding, this is also who the invoice will be made out to.

First name*

Please enter your first name

Surname*

Please enter your surname

Address 1*

Please enter your address.

Address 2

City*

Please enter your city.

Region / County

Post Code

Country*

Please indicate a country of residence

Phone*

Is your phone number right? It doesn’t look like there are enough digits

Mobile phone

Fax

Email*

Are you sure that’s a valid email address?
We expect at least an "@" and a "."

Billing information

This is where the course invoice will be sent and details who will be paying the course fees. If your course is self-funded you may leave this section blank.

Use student information from above

Company name*

Please put your company’s name or your funding source

VAT

Name*

Please enter the first name

Surname*

Please enter the surname

Company address 1*

Please enter a billing address.

Company address 2

City*

Please enter the city of the billing address.

Region / County

Post Code

Country*

Please indicate the country of the billing address

Company Phone*

Is the phone number right? It doesn’t look like there are enough digits

Company mobile

Company fax

Company email*

Are you sure that’s a valid email address?
We expect at least an "@" and a "."

Student preferences

Please specify any food allergies or special needs

What is your prefered testing language, other than English?

Student qualifications and experience

The following information helps us prepare for your attendance at the course. The more you share with us the better we can prepare, however please try and be concise.

What is your current job title?*

Please enter your job title or function.

Please describe your current role*

Please give us some idea about what is involved with your current role.

Either the URL of your LinkedIn profile or please describe your career background*

Please give us some idea of your career background

Have you taken any preparation courses toward the certification you are pursuing with Firebrand Training?

Please tell us about any qualifications you may have, like a Degree or an IT qualification

Please describe your technical strengths in relation to the course you are pursuing

Please describe your technical weaknesses in relation to the course you are pursuing

Logistical arrangements

Will additional nights of lodging be required? If so please specify dates

Plan to arrive at the training centre the day before the first day of class
Room check-in is at 16:00. If you plan on arriving earlier, early check-in may be available but cannot be guaranteed
A camp orientation is held at 17:00 pm the evening before the first day of class, followed by a group dinner. Attendance at the orientation is mandatory.
You will be emailed a logistics document which will provide full details on travel and accommodation

Payment

In order to reserve a seat for the course date requested, completion of this registration form, and the total cost of the program is required
The balance of the payment is due on receipt
We unfortunately no longer accept American Express. There is no charge for payment by debit card.
Full payment is due if registration is made within fourteen days before the start date of the camp.
If you have nominated to pay by Credit or Debit card a member of our Customer Services team will be contacting you
If you are using government money (like KMO) for payment of this class, please mention it below

How are you paying for the course?*

Please select a payment method.

Course price (in Euros €, excluding VAT)*

Please enter a price for the course using numbers only.

Please enter I AGREE to authorise charge*

Cheque or electronic transfer

Cost of course (in Euro, EUR)*

Loan type*

Please select a loan type.

Date application faxed/completed

Terms, conditions and registration

Please read our Privacy Policy & Terms and Conditions. By pressing the registration button you confirm you have read them and agree to be bound by them.

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