Les Amis du Numéro Neuf

Application form for the Introduction to Renewable Energies Course

To Apply for a place on this course please fill-in the following form.

Name
Address
Postcode
Email
Please ensure your email is correct
Main Phone Number
Mobile Phone Number
Select the Date

7th - 11th May 2007
4th - 8th June 2007
3rd - 7th September 2007

Details of your experience and qualifications
Payment Method

PayPal
Bank Transfer
Western Union
By Euro cheque / International Money Order
Other

Special Dietary Requirements
Occupation / Interests / Other Information
Where did you hear about the course
If you require a Visa please complete the following section. Please note we will not send any Invitation Letter or supporting documentation until we have received your deposit.
I require a Visa to enter France

Yes
No

Please enter the exact name and spelling that will be on your visa application.
Please enter the Passport Number that will be on your visa application.