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Secure Online Registration Form

Radio Academy Masterclass

on Saturday March 24th

This is the online booking form for the Radio Academy Masterclass taking place at Kerrang! Radio in central Birmingham on Saturday 24th March 2007. The event starts at 10:30am and will last until 6pm. Each delegate place costs £8. A sandwich lunch will be provided on the day.

Please complete this form, and press send to transmit it to the Radio Academy offices. This process uses a Secure Socket Layer server, which is guaranteed by our providers to be secure with your credit card details. Please note that applications for registration, whether accompanied by payment or not, are considered genuine, and you will be expected to send payment. By sending this form, you accept this condition, and promise to pay the required fee.

Name:
Course of study, if applicable:
Radio Station:

Job title:

Address:
Postcode:
Tel:
Fax:
Email:
Dietary requirements:
Access requirements:

If you would like to join the Radio Academy mailing list, please select:

If you would like to join The Association of Student Radio Alumni (ASRA) mailing list, please select:

Delegate fee:

£8.00
Method of Payment:

Credit Card Number: - - -
Expiry Date: /
Start Date: / (Debit Cards Only)
Issue Number (Debit Cards Only)

By pressing the send button you are agreeing to register for this event, and for your credit/debit card to be debited for the appropriate amount (unless you have stated otherwise).

All fees include VAT (charged at 17.5%) and are tax deductible. Registered Charity No. 298325 VAT Registration No. 644 8099 09

If you wish to post this form, please print it out and send it to RA Masterclass, The Radio Academy, 5 Market Place, London W1W 8AE. Or you may fax it to 020 7255 2029. Email queries to abi@radioacademy.org