ANSYS Horsham Training Registration Form

Please return both sheets as soon as possible, ensuring the registration form is fully signed and dated: ANSYS Horsham Suite 1, Horsham Gates 3 North Street Horsham West Sussex RH13 5PJ, ENGLAND Tel: +44 (0) 1403 270066 Fax +44 (0) 1403 270099 Email: training-uk@ansys.com

Course Date & Location ANSYS Horsham

Forthcoming Course dates can be viewed at

http://www.ansys.com/services/ts-schedules-hq-sort.asp?LOCATION_ID=12

Please register me for (please tick) ANSYS AUTODYN Introductory Training Course (2 days) ANSYS Explicit Dynamics Introductory Training Course (2days) ANSYS DesignModeler & Meshing for ANSYS Explicit Dynamics & ANSYS AUTODYN (2 days) ANSYS AUTODYN in User Subroutines (1 day) ANSYS Explicit Dynamics & ANSYS AUTODYN Workshop (1day) ANSYS AQWA Training Course (3 days) ANSYS ASAS Training Course (2 days) ANSYS Focus Day

Course Fee (Ex. VAT) 860 / 1150 860 / 1150 860 / 1150 430 / 575 430 / 575 1290 / 1725 860 / 1150 925 / 1240

** There are discounts available for commercial customers with 2 or more delegates attending the same course and for academic institutions.

Please enter Course dates wishing to attend ____________________________________ Fees and Discounts
Scheduled courses Focus days
( )

430 / 575 exc. VAT / per trainee / per day **

925 / 1240 exc. VAT per trainer per day (Max 8 Delegates)

** Discounts are available for scheduled courses only (No discounts for Focus Days) - Academic customers receive a 40% discount providing there is a full paying customer registered for the same course. - Group discounts - For 2 trainees, multiply trainee rate by 1.6 - For 3 trainees, multiply trainee rate by 2.1

Focus Days
Please summarise the topics to be covered and give preferred dates and start times

__________________________________________________________________________ __________________________________________________________________________

ANSYS UK Limited Company Registration No: 3917515 VAT No: GB 471 0875 44,ANSYS UK Holding Company Limited Company Registration No: 7107758 VAT No: GB 684907489, and Century Dynamics Limited (trading as ANSYS Horsham) Company Registration No: 2613571 VAT No: GB 528737416 are wholly owned subsidiaries of ANSYS, Inc. And are registered in England and Wales. Registered Office: 47 Castle Street, Reading, Berkshire RG1 7SR. 2011 ANSYS, Inc. All rights reserved.

Trainee Full Name __________________________________________________________ Nationality/ies ______________________________________________________________

You may be asked to show your passport on entry to ensure compliance with US & UK export regulations

Are you a permanent resident of any other countries, if so where___________________

Required to ensure compliance with US & UK export regulations

Company / University Name __________________________________________________ Address __________________________________________________________________ ____________________________________________Postcode ______________________ Telephone No______________________ Email___________________________________ Please advise if you have any special requirements, dietary or otherwise ____________ Payment Details
Payment must be made in full two weeks prior to attending the course. I wish to pay by (please indicate). Once completed registration returned, an invoice will be sent indicating payment due date and amount, including any discounts, if applicable.

Cheque (Made Payable to Century Dynamics Ltd, Address as Above) BACs EURO
Bank: NatWest Account: Century Dynamics Limited IBAN # GB95NWBK 607213 13001582 SWIFT ID # NWBKGB2L

BACs GBP
Bank: Natwest / Sort Code:60-11-17 Account Number: 69543968 Account: Century Dynamics Limited IBAN # GB48 NWBK 60111769543968 SWIFT ID # NWBKGB2143L

Invoicing Address if different to Above ________________________________________ __________________________________________________________________________ __________________________________________________________________________ Contact ____________________________ Telephone _____________________________ Purchase Order Number _____________________________________________________ VAT Number (Outside the UK) ________________________________________________ Terms & Conditions
By signing below each party agrees to be bound by the terms and conditions of the Services Agreement ("Service Terms") noted above. The Service Terms may be retrieved, printed and reviewed at http://www.ansys.com/ukserviceterms.htm by contacting 1-800-937-3321, or by contacting your training Co ordinator. No purchase order or any other purchasing instruments issued by Customer, even if such purchase order or other purchasing instrument provides that it takes precedence over any other agreement between the parties, shall be effective to contradict, modify, delete from or add to the terms of the Service Terms in any manner whatsoever. If you do not agree to be bound by the terms and conditions of the Service Terms please contact your Training Co ordinator. CANCELLATIONS Where cancellations are made within a week of the course start date, a fixed fee of 300 (or the full course fee if less than 300) will be charged. Please notify us within two working days of the course start date if you wish to substitute someone to take your place.

Name: ___________________________

Position: _________________________ _________________________

Signed: ___________________________ Date:

ANSYS UK Limited Company Registration No: 3917515 VAT No: GB 471 0875 44,ANSYS UK Holding Company Limited Company Registration No: 7107758 VAT No: GB 684907489, and Century Dynamics Limited (trading as ANSYS Horsham) Company Registration No: 2613571 VAT No: GB 528737416 are wholly owned subsidiaries of ANSYS, Inc. And are registered in England and Wales. Registered Office: 47 Castle Street, Reading, Berkshire RG1 7SR. 2011 ANSYS, Inc. All rights reserved.