Fields marked * are required

Course date: Monday 8 April, 2019 Tuesday 9 April, 2019 Thursday 20 June, 2019 Tuesday 24 September, 2019 Thursday 21 November, 2019

Course fee: Please select: IR Society members (£449 + VAT): £538.80IR Society members - outside UK (£449): £449Non-members (£599 + VAT): £718.80Non-members - outside UK (£599): £599

Your name *

Your position *

Company name *

Company address *

Your email *

Your telephone *

Select a payment type *

You will be able to pay securely after submitting this form.

Made payable to The Investor Relations Society.

Enter Purchase Order Number/Cost Code/Department, etc. below if necessary.

This should be made to: HSBC, 60 Queen Victoria Street, London EC4N 4TR. Branch code: 40 11 60. Account number: 20788309. Please advise when payment has been made.