BOOKING FORM 2015 PLEASE RETURN BY FAX OR EMAIL: 0844 500 9552 / mail@focushealthandsafety.com Focus Health and Safety Noise Course: Noise at Work Competency Training (4.5 Days) IOSH Accredited Number of Places Required Purchase Order / Reference Contact Details Contact Name Position Company Name Invoice Address (inc. Post Code) Contact Phone Contact Email Course Date Falkirk 16-20 March 19-23 October Manchester 20-24 April Leicester 16-20 February 10-14 August Swindon 18-22 May 21-25 September Chelmsford 13-17 July 16-20 November 23-27 November Delegate Details Delegate #1 Name Email Delegate #2 Name Email Delegate #3 Name Email Price Price per Delegate: £975 + £75 IOSH Accreditation = £1,050 + VAT Total Amount = Number of Places Required x £1,260 inc. VAT Payment Pro-forma: Please send me a pro-forma invoice for the total amount payable Cheque: I enclose a cheque for payment of the total amount. Please send me a VAT Invoice Credit Card: Please debit my credit card the total amount. Please send me a VAT Invoice. Card Type* Start Date Number | Expiry Date | | | | CSV *American Express/Visa/MasterCard accepted - please ensure card is registered to the invoice address given above. Bank Transfer: I have made payment of the total amount by BACS. Please send me a VAT Invoice Account: Focus Health and Safety, NatWest Bank Plc, Sort Code 60-14-10, Account Number 53927303, IBAN GB15NWBK60141053972303 Focus Health and Safety, Atkins Building, Lower Bond Street, Hinckley, Leicestershire LE10 1QU Tel: 0844 500 9551 fax: 0844 500 9552 web: www.focushealthandsafety.com BOOKING FORM 2015 PLEASE RETURN BY FAX OR EMAIL: 0844 500 9552 / mail@focushealthandsafety.com Focus Health and Safety Terms & Conditions All bookings must be pre-paid, 30 days net invoice or no later than 7 days prior to the course start date, whichever is the soonest. Bookings cannot be cancelled outside of Focus Health and Safety’s standard Terms & Conditions, without payment of a 25% administration fee. Full Terms & Conditions available on our website. Note (Sound Level Meters) Delegates are welcome to bring a sound level meter to the course. This is not a requirement and 1:1 software training is not part of the schedule, however, it may be preferable for delegates to use their own equipment during practical sessions. Please complete below if applicable: I/We intend to bring the following meter (make & model): Focus Health and Safety, Atkins Building, Lower Bond Street, Hinckley, Leicestershire LE10 1QU Tel: 0844 500 9551 fax: 0844 500 9552 web: www.focushealthandsafety.com