BOOKING FORM CREDIT UNION CEO DEVELOPMENT SEMINAR 16th April 2015 CONTACT DETAILS Name: ______________________________________________________ Surname: ______________________________________________________ Credit Union: _________________________________________________ Phone: ______________________________________________________ Email: ______________________________________________________ OPTIONS: Please select all options you would like to apply for €650 Seminar only €45 3 Course evening dinner in the Heritage Hotel €100 Single occupancy accommodation and breakfast Heritage Hotel €120 Double or twin accommodation and breakfast Heritage Hotel CUMA CU Managers Association Ltd PO Box 001, An Post Cashel, Co Tipperary lisa.stapleton@cuma.ie www.cuma.ie PAYMENT OPTIONS: Cheque: made payable to CU Managers Association Ltd and sent to Lisa Stapleton at the address below Bank Transfer: Account name: CU Managers Association Ltd Signature: Sort Code: 90-05-78 A/C number: 83114459 IBAN: IE51BOFI90057883114459 SWIFT/BIC: BOFIIE2D ___________________________________________ Date: _____________ Latest date for receipt of bookings Friday, 27th March TERMS AND CONDITIONS CUMA AND TIMONEY LEADERSHIP INSTITUTE 1. By signing this application form you are committing to attend the seminar taking place on 16 April 2015 at the Heritage Hotel, Killenard, Co Laois. 2. Please return by email or post this application form by Monday 30 March 3. Payment in full must be made by Monday 30 March 2015. Please indicate above which payment option you prefer. 4. Due to the nature of the arrangements with the Heritage Hotel and with the speakers, refund is not possible after the 3 April. Full refund will be made if you cancel before Friday, 3rd April. 5. You are asked to cover any additional expenses arising in the hotel such as charges in the bar or other restaurants, porterage, taxi service, telephone etc. th th CUMA CU Managers Association Ltd PO Box 001, An Post Cashel, Co Tipperary lisa.stapleton@cuma.ie www.cuma.ie
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