BRONZE application form_MAY_2015 - Flysteadicam | International

Application Form Steadicam® Bronze Workshop
Application Form Steadicam
CONTACT DETAILS (Not Venue Address)
Tiffen International Ltd
East Side Complex
Pinewood Studios, Iver Heath,
Buckinghamshire, SL0 0NH
Tel: +44 (0)1753 783 960
Fax: +44 (0) 1753 652 776
Robin Thwaites - [email protected]
Danny Hallett – [email protected]
Dear Prospective Steadicam student,
STEADICAM® BRONZE WORKSHOP – Tues 26 – Wed 27th May 2015
Times: 09:30 – 18:00 both days.
The Tiffen International Steadicam Bronze workshop is a great opportunity to work with the latest genuine
approved by Steadicam inventor Garrett Brown.
Steadicam systems and have instruction from Tiffen staff or approved instructors and also follow a syllabus
This 2 day course will run from 9.30 a.m. on 26th May 2015. This exciting workshop will be held at the SAE
World Headquarters in Oxford, England, United Kingdom (pictured above).
The price of the workshop includes the workshop itself, use of equipment, a snack lunch but no
accommodation or main meals.
The requirement for students is simply that they have camera experience and they are reasonably healthy
(please feel free to discuss this if you have any doubt). Students should also be aware that Steadicam
operation is a physical activity and you will probably get quite warm therefore the typical preferred dress for
your own comfort is a tracksuit or jeans and t-shirt. Ankle-supporting trainers make ideal footwear. Heeled
shoes are not appropriate and we reserve the right to refuse access to the equipment on health and safety
grounds should attire be deemed inappropriate to the physical nature of the training.
The total price for the workshop is £350.00 including VAT or €450.00 including VAT. (VAT will apply
if you are coming from outside of the UK as a service performed within the UK however you may be
able to reclaim it locally). We do not operate a deposit scheme for Bronze workshops, to apply please send
the full amount along with a COMPLETED application. Your place will be confirmed upon receipt of both
by Tiffen International Ltd. Please note we are unable to issue a refund within 14 days of the start date of the
workshop unless on medical grounds.
If you have any questions, please don’t hesitate to contact us using the details above.
Robin Thwaites & Danny Hallett
The Tiffen International Steadicam® Team
All details below are required to process your application.
Steadicam® is a registered trademark of Tiffen. Tiffen International Ltd – VAT Number: GB 781 534 713
Application Form Steadicam® Bronze Workshop
Please complete/scan & email your form to: [email protected] / [email protected]
APPLICATION FORM
*Please complete in Upper Case
Name:
Postal address:
Country:
Email address:
Telephone number:
Please mark as appropriate...
I have used a Steadicam before: YES
My work is mainly...
Weddings
Corporate
Broadcast
How did you hear about us?
Website
Word of Mouth
NO
Film
Mailing List
Amateur/Hobby
Facebook
Student
Recommendation
Education
Other (please specify)
………………………………………………………..
I own a Steadicam or stabiliser
If “Yes” to the above, please state the make and model
Yes
No
...............................................................................................................................................................................
We will take pictures or video footage during the workshop which may be used by Tiffen for our website(s),
and/or trade publications.
I agree to my image being used by Tiffen...
Yes
No
I accept that Tiffen International Ltd, SAE Institute nor any of their staff or representatives can be held
responsible for any loss or injury sustained during the course or resulting in any way from the course.
Receipt of payment for the course automatically implies acceptance of this disclaimer.
SIGNED: __________________________________________________DATE:________________________
WORKSHOP PAYMENT
The total for the workshop including UK VAT is payable in full, in advance. Full payment will secure your
placement on the workshop.
GBP payment for £350 can be accepted by UK direct bank transfer, credit card or PayPal®. Please note we
are unable to issue a refund within 14 days of the start date of the workshop unless on medical grounds.
If paying in Euro, the price is €450.00 including UK VAT. Payment in Euro can be accepted via direct bank
transfer or PayPal only – For PayPal® we require your registered PayPal email address to send a payment
request. Please contact us if you prefer to pay via direct bank transfer for details or to pay by card via PayPal
over the phone on +44(0)1753 783 960. We will destroy the below details once payment has been processed.
-------------------------------------------------------CUT----------------------------------------------------------------------I WISH TO PAY IN:
GBP
EURO
(Please see above notice)
I give permission for Tiffen International Ltd to charge in full the fee of either £350 for this workshop by my
nominated Credit/Debit Card. I understand these details will not be stored on file.
NAME ON CARD: __________________________CARD NUMBER:____________________________
SECURITY CODE:_______________ EXPIRY DATE: MM/YY
All details above are required to process your application.
Please complete/scan & email your form to: [email protected] / [email protected]
Steadicam® is a registered trademark of Tiffen. Tiffen International Ltd VAT Number: GB 781 534 713