Registration The Diploma in Systemic Leadership and Consulting Practice accredited by the IGA Fields marked with an * are required INTRO Welcome to the registration and payment options form for The Diploma in Systemic Leadership and Consulting Practice. Please note that the actual billing and payment will be offline.We use this form to gather all relevant details for your registration and choice of payment. It also serves to inform us about your work and practice context, and the hopes and expectations that you hold in relation to the course.Once submitted you will receive an email receipt and within a few days we will be in touch to confirm your place on the course, and to address any points that still require clarification. YOUR (PARTICIPANT) CONTACT DETAILS PARTICIPANT CONTACT DETAILS First Name * Last Name * Email * Phone * Address * Postcode * City * Country * - Select 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 Bonaire, Sint Eustatius and Saba Bosnia and Herzegowina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Canada Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, The Democratic Republic Of The Cook Islands Costa Rica Cote D'Ivoire Croatia Cuba Curacao Cyprus Czechia Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador England Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France France, Metropolitan French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard And Mc Donald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran (Islamic Republic Of) Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic Of Korea, Republic Of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States Of Moldova, Republic Of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Macedonia Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Republic of Kosovo Reunion Romania Russian Federation Rwanda Saint Martin Saint Barthelemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts And Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent And The Grenadines Samoa San Marino Sao Tome And Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and South Sandwich Islands South Sudan Spain Sri Lanka Sudan Suriname Svalbard And Jan Mayen Islands Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania, United Republic Of Thailand Timor-Leste Timor-Leste (East Timor) 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 Venezuela Viet Nam Virgin Islands (British) Virgin Islands (U.S.) Wallis And Futuna Western Sahara Yemen Zambia Zimbabwe YOUR WORK CONTEXT AND HOPES YOUR WORK CONTEXT AND HOPES What is your current employment status, your role and responsibilities? What higher education studies or significant course work have you done? What are your hopes for your learning and development in relation to this training? How might your learning and development benefit your employing organisation? Divider BILLING AND PAYMENT BILLING & PAYMENT The course fee is 3360 pounds. For bookings and payments before end October 2019 you can register using the reduced early bird fee of 3160 pounds. These fees do not include VAT.Upon registration you are agreeing to pay the full course fee of 3360 pounds (3160 pounds respectively) within two weeks from registration, but not earlier than August 31st 2019. It is possible to split the bill for the full course fee between the participant and her/his contributing organisation. Please note this option can not be combined with the early bird fee and with payment in instalments. We have a limited possibility to provide the course VAT exempt which we offer for self paying individuals and charities that are not registered for VAT. Organisational buyers like businesses, local government and governmental organisations, universities and the NHS, registered for VAT, will be billed with the course cost plus VAT. Details for billing to and payment by your organisation: Details for billing to and payment by your organisation: Organisation name Contact name for billing & payment Contact email for billing & payment VAT Number Budget or purchase order codes Payment commitment of the organisation the organisation will pay the full course fee the organisation will pay part of the course fee (further specified below) the organisation is considering contributing, but a decision is still pending Agreed amount (excl. VAT) Specifying comments regarding billing Address as required for billing Postcode City Country - Select 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 Bonaire, Sint Eustatius and Saba Bosnia and Herzegowina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Canada Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, The Democratic Republic Of The Cook Islands Costa Rica Cote D'Ivoire Croatia Cuba Curacao Cyprus Czechia Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador England Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France France, Metropolitan French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard And Mc Donald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran (Islamic Republic Of) Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic Of Korea, Republic Of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States Of Moldova, Republic Of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Macedonia Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Republic of Kosovo Reunion Romania Russian Federation Rwanda Saint Martin Saint Barthelemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts And Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent And The Grenadines Samoa San Marino Sao Tome And Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and South Sandwich Islands South Sudan Spain Sri Lanka Sudan Suriname Svalbard And Jan Mayen Islands Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania, United Republic Of Thailand Timor-Leste Timor-Leste (East Timor) 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 Venezuela Viet Nam Virgin Islands (British) Virgin Islands (U.S.) Wallis And Futuna Western Sahara Yemen Zambia Zimbabwe Details for billing to and payment by the participant Details for billing to and payment by the participant:Participants will be charged with the course fee reduced by the amount the organisation agrees to pay, if any. We offer the possibility to pay this fee in four installments: Participants will be issued with a single invoice for the whole course together with a payment schedule. Payment in installments cannot be combined with the early bird fee. The first installment is payable two weeks from registration but not earlier than August 31st 2019; installments two, three and four are due four weeks prior to the beginning of respective course modules two, three and four. Participant payment VAT I am not registered for VAT, please issue bills to me VAT exempt. Participant payment options I will pay the full course fee, within two weeks from registration. I will pay the full course fee in four installments (cannot be combined with early bird fee). Divider Cancellation * Cancellation fee: 80% of course fee up to 4 weeks before the course, thereafter 100%. I first learned about this diploma course from... * Search engines (Google etc.) The Institute of Group Analysis (IGA) The Association for Family Therapy (AFT) Friends of KCC Linked In Facebook Christine Oliver or Martin Miksits Word of mouth / my network Other Any other comments Recaptcha If you are a human seeing this field, please leave it empty. Please leave this field empty Thanks for visiting! Let us keep you posted on our workshops and special offers We don’t spam! Read our privacy policy for more info. Email Address * Check your inbox or spam folder to confirm your subscription.