Please complete the following form - required fields are indicated with an asterisk (*).

TITLE *	Mr Mrs Ms Miss
FIRST NAME *
SURNAME *
JOB TITLE *
COMPANY NAME *
COUNTRY *	Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos Islands Colombia Comoros Congo Congo, Democratic Republic of the Cook Islands Costa Rica Cote d''Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Prncipe Saudi Arabia Senegal Serbia Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States minor outlying islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe
TEL (include country)*
FAX (include country)*
EMAIL *
TRAINING OBJECTIVES
TRAINING SCOPE	If you do not have a full scope of work, please identify which topics you wish to be covered during the programme:
DURATION OF TRAINING	1 day 2 days 3 days 4 days 1 week Other...
SIZE OF TRAINING GROUP
BACKGROUND OF ATTENDEES	Senior Management Middle Management Junior Management Non-managerial Staff           Administration Human Resources IT Legal Logistics Marketing Operation PR Sales Other
WHEN WOULD YOU LIKE THE TRAINING TO TAKE PLACE (mm/yy)?
WHERE WOULD YOU LIKE THE TRAINING TO BE CONDUCTED?	Training facilities in your company Hotel or a similar venue in your country Hotel or a similar venue in another country LMC Training Centre in London Other
HOW MANY TIMES WILL THIS TRAINING PROGRAMME TAKE PLACE?	1 2 3 4 5 6 7 8 9 10
DO YOU REQUIRE A FOLLOW UP PROGRAMME?	Follow up programmes are usually sheduled 6 - 9 months after the completion of the course to ensure that taught tools and techniques are utilised and overall performance has improved. Yes     No