Registration form - Certified Scrum Product Owner - 13 & 14 September 2010

Registration form

Practical details

Dates & time:
Monday 13 & Tuesday 14 September 2010
09:00 - 17:00hrs

Location:
De Industrieele Groote Club
Dam 27
1012 JS Amsterdam
Route description

Trainers:
Arlen Bankston and Marco Mulder. Click here for their biographies

Cost:
€ 1.595,= p.p. excl. VAT
Lunch and material included
Memberhip of nlscrum and Scrum Alliance included

Contact & information:
Renée Boerma or Yvonne van der Laak
Phone: +31 (0)35 538 1921
E-mail: training@xebia.com

To register for the Certified Scrum Product Owner training on 13 & 14 September 2010, please fill in the following details:

Please note that some of the fields are mandatory and/or collapsible.

Personal information

Title: *

First name: *

Initials: *

Prefix:

Last name: *

Job title: *

Phone number: *

Additional phone number:

e.g. your mobile phone number or a direct office number.

E-mail address: *

Additional e-mail address:

e.g. a private e-mail address.

How long have you been working with Scrum: *

What are you looking for in this course: *

For extra attendees

Attendee 2 - Title:

First name:

Initials:

Prefix:

Last name:

Job title:

Phone number:

E-mail address:

How long have you been working with Scrum:

What are you looking for in this course:

Attendee 3 - Title:

First name:

Initials:

Prefix:

Last name:

Job title:

Phone number:

E-mail address:

How long have you been working with Scrum:

What are you looking for in this course:

Details organisation

Name organisation: *

(Visiting) address: *

Street and number.

Postal code & city: *

Country:

P.O. Box number:

Postal code & city:

Country:

Phone number: *

Invoice details

In case the invoice address is different from the organisation address, please fill in the fields below.

Purchase order number or notification:

In many organisations it is necessary to submit a purchase order number or special notification on the invoice. Please check whether this is the case in your organisation. You can also send this afterwards.

Name organisation for payment: *

Address: *

Please provide us with all information necessary, e.g. building, floor, department.

Addressed to: *

Please fill in the name of the person or department the invoice has to be addressed to.

Postal code & city: *

Country:

Phone number:

Please provide us with a phone number of e.g. Accounts Payable or the person responsible for payments.

VAT code:

For foreign applications only. If your country requires a specific VAT number or code, please fill in here.

Comments:

Additional contact person for this registration and/or payment

Title:

First name:

Initials:

Prefix:

Last name:

Job title:

Department:

Phone number:

E-mail address:

I agree to the Standard Contract Terms for Training Courses: *

Yes

Click here for Xebia's Standard Contract Terms for Training Courses

For our information

Where did you find Xebia: *

You can choose more than one option. Press CTRL when selecting more options.

Registration form - Certified Scrum Product Owner - 13 & 14 September 2010

Registration form

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Training Overview

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