Continuing Professional Development/Training Booking Form Please complete all relevant sections and email or post to CPD-Philanthropy. We will confirm your booking electronically. ATTENDEE DETAILS First Name: Last Name: Phone: Email: Firm/Company/ Organisation: Prefix: Mr Ms Mrs Dr MODULEs (Please tick the course/event you wish to book) NOTE: There are currently no scheduled CPD seminars open for booking. 2016 CPD-EVENTS WILL BE ANNOUNCED SHORTLY. Choose your own CPD programme Please refer to www.cpdphilanthropy.ie pertaining to LEGAL CPD, MANAGEMENT CPD and STRATEGY CPD short modules. We currently offer a suite of over 30 short courses. By selecting different module courses you can design your CPD programme. Alternatively, our open network has considerable capacity to assess, design and deliver tailor made programmes in line with your training needs. Simply provide us with a brief outline of your requirements in the boxes below. Our promise is that we will be able to assist you, if you wish to organise a CPD event in conjunction with us. NOTE: Minimum numbers apply. My CPD programme Please state the name(s)/date(s)/time(s) of the module(s) you would like to express your interest for and we will get back to you with details pertaining to minimum numbers and/or tailor made programme possibilities. Module NAME DATE TIME/Duration CPD-Philanthropy │4 Glanmore Castle │ Devil’s Glen │ Ashford │ Co Wicklow T: +353 0 404 42598 │E: info@cpdphilanthropy.ie www.cpdphilanthropy.ie YOUR CHARITABLE CAUSE 1. 2. 3. Your donation is entirely voluntarily and separate and distinct from CPD-Philanthropy. However we can assist you with information pertaining to available tax incentives. CPD-Philanthropy heavily discounts module fees from known market rates to facilitate your donation. Therefore, by undertaking continuing professional development and training with CPD-Philanthropy your business does not incur an additional cost in terms of charitable donations. We recommend a minimum donation, which together with the module fee, equates to going CPD market rates. We would be grateful to know to which charitable organisation you intend to support. ……………………………………………………………………………………………………………………………. 3. How did you hear about CPD-Philanthropy? (Please tick the options that apply) Email Promotion Leaflet Internet (Please state which website on dotted line below) Newspaper Word of mouth Other (Please specify on dotted line below e.g. radio …………………………………………………………………………………………………………………………… MODULE FEE PAYMENT INFORMATION CPD-Philanthropy accepts payment by cheque, electronic funds transfer (EFT), postal order, cash or bank draft payable to CPD-Philanthropy. Please note CPD-Philanthropy is not set up to administer payment by credit/bank card. Upon receipt of this booking form we will electronically invoice you and expect payment before the event taking place. Payment on the day of the event taking place should be pre-arranged with CPD-Philanthropy. TERMS & CONDITIONS for scheduled programme Booking and Payment: Your place is booked upon receipt of booking confirmation email and electronic invoice from CPD-Philanthropy. Cancellations are accepted until 5 days prior the module taking place. A full refund is given. In order to cover costs, cancellations within 5 days prior the module taking place will be refunded by 50% of the applicable fee or electronically re-invoiced at 50% of the applicable fee. Refunds will be paid within 90 days by electronic funds transfer (EFT) only. Cancellation fee payments at 50 % of the applicable fee must be paid within 90 days of receipt of the revised invoice. Unfortunately, no refund is possible for no shows. Certificate of Attendance: CPD-Philanthropy issues ‘Certificates of attendance’. Certificates include the attendee’s name pre-printed by CPD-Philanthropy, the date, time and duration of the training attended, category of CPD training provided and signed for by the module tutor on behalf of CPD-Philanthropy. CPD-Philanthropy certifies hours attended, only. CPD-Philanthropy does however re-issue electronic certificates reflecting actual hours attended. Data Protection and Privacy: Your details will be maintained within our participant files and we may contact you in the future about CPD-Philanthropy modules that may be of your interest. Policy on the use of photographs: CPD-Philanthropy may use images from our activities for publications and promotional purposes. Policy on course notes: All notes will be emailed to attendees and non-attendees who have paid post the event taking place. ATTENDEE AGREEMENT Signature: ____________________________________________ Date: ____________________________________________ I understand and accept the Terms and Conditions of my booking CPD-Philanthropy │4 Glanmore Castle │ Devil’s Glen │ Ashford │ Co Wicklow T: +353 0 404 42598 │E: info@cpdphilanthropy.ie www.cpdphilanthropy.ie