For Office Use Only: Date Booked: Course Booked: Paid: Date Paid: GDC/GMC/NMC Num Check: Training Course Booking Form 2015 K-T Training (Admin) 123 Ermin Street Swindon SN3 4NH T: 01793 323786 E: info@kttraining.co.uk Please complete this booking form and return to K-T Training or provide the following information by email to reserve any course. Personal Information: Title: First Name (s): Surname: Course Booked: Date: GMC/GDC/NMC (or International equivalent) registration number: Current Specialty: Address Line 1: Address Line 2: City/Town: County: Postcode: Telephone No: Mobile No: Email Address: Please advise where you heard about us: If you have any dietary requirements please state here: KT Training 123 Ermin Street, Swindon, SN3 4NH E:info@kttraining.co.uk – T: 01793 323786 – W: www.k-ttraining.com We are currently offering a 10% discount when booking 2 courses. September 2015 Course Day Date Chemical Peels ½ day course * Dermaroller ½ day course * Mesotherapy Lip Master Class Advanced Botox & Dermal Filler Tear Trough & Nose Correction Saturday Saturday Saturday Saturday Sunday Sunday 12-Sept 12-Sept 12-Sept 12-Sept 13-Sept 13-Sept Course Day Date Botox Dermal Fillers Botox Dermal Fillers Combined Botox & Dermal Fillers * Botox Dermal Fillers Botox Saturday Sunday Saturday Sunday Saturday Saturday Sunday Saturday 03-Oct 04-Oct 10-Oct 11-Oct 24-Oct 24-Oct 25-Oct 31-Oct Course Day Date Dermal Fillers Chemical Peel & Dermaroller Botox Dermal Fillers Chemical Peels ½ day course * Dermaroller * Lip Master Class Advanced Botox & Dermal Filler Liquid Face Lift (Voluma) V Soft Thread Botox Dermal Fillers Sunday Sunday Saturday Sunday Saturday Saturday Saturday Sunday Sunday Saturday Saturday Sunday 31-Oct 01-Nov 31-Oct 01-Nov 07-Nov 07-Nov 07-Nov 08-Nov 08-Nov 21-Nov 21-Nov 22-Nov Course Day Date Botox Dermal Filler Botox Dermal Filler Lip Master Class Saturday Sunday Saturday Sunday Sunday 05-Dec 06-Dec 12-Dec 13-Dec 13-Dec Price (Excludes VAT) £550 £250 £500 £550 £1000 £500 Total Price Notes £660 £300 £600 £660 £1200 £600 High Wycombe High Wycombe High Wycombe High Wycombe High Wycombe High Wycombe Price (Excludes VAT) £650 £650 £650 £650 £900 £650 £650 £650 Total Price Notes £780 £780 £780 £780 £1080 £780 £780 £780 Manchester Manchester Swindon Swindon Harley Street Harley Street Harley Street Manchester Price (Excludes VAT) £650 £800 £650 £650 £550 £250 £550 £1000 £550 £1000 £650 £650 Total Price Notes £780 £960 £780 £780 £660 £300 £650 £1200 £660 £1200 £780 £780 Manchester Manchester Swindon Swindon High Wycombe High Wycombe High Wycombe High Wycombe High Wycombe Harley Street Harley Street Harley Street Price (Excludes VAT) £650 £650 £650 £650 £550 Total Price Notes £780 £780 £780 £780 £660 Swindon Swindon Manchester Manchester Manchester October 2015 November 2015 December 2015 *Combination of distance learning and hands on practical on the day KT Training 123 Ermin Street, Swindon, SN3 4NH E:info@kttraining.co.uk – T: 01793 323786 – W: www.k-ttraining.com Due to demand we will schedule extra dates for some courses. We do occasionally have late cancellations and our policy is to try and fill the place, if a course is FULL we do operate a waitlist for last minute bookings. Course dates, trainers and prices are subject to change without prior notification. TERMS & CONDITIONS Payment & Terms: Payment for all courses must be received A MINIMUM OF 21 DAYS prior to the course start date otherwise reserved places may be lost. Please note that your course reservation is not complete until your full contact details has been returned to us. No pre-course material or confirmation will be sent until full payment is received. Payment of course fees can be made by cheque, bank transfer, and credit or debit card. Please make cheques payable to K-T TRAINING LTD or Call 01793 323786 to pay by card. Cancellations: A 100% Refund will be granted if cancelling 21+ Days prior to course date. A 75% Refund will be granted if cancelling 14+ Days Prior to course date. No refund issued for less than 7 Days notice prior to course date. A 4% administration charge is applied for all refunds. If you wish to alter your course date you may do so without charge up to 3 days prior to course Disruptive or Unsafe Behaviour: KT Training provides group courses that require all of our members to respect each other in order to learn. Any candidate found to disrupt the lecture and the training environment will be asked to leave and any refund may or may not be fulfilled upon the discretion of the owners. If our trainers, staff members, delegates or models feel unsafe as a result of a delegate, that individual will be asked to leave immediately and their funds will not be refunded. I would like to make payment by (please circle): Cheque / Credit or Debit Card / Bank Transfer These courses are only available to Nurses/Midwives with valid NMC numbers, Doctors with valid GMC numbers Dental professionals with valid GDC numbers. To train and practice medical aesthetics in the UK you need to be registered with the relevant UK medical governing bodies. International Doctors must be registered with the equivalent governing bodies in the country were they practice. Please note these are the minimum requirements for all of our medical aesthetic courses. By sending in this booking form you are agreeing to the terms & conditions stated above. KT Training 123 Ermin Street, Swindon, SN3 4NH E:info@kttraining.co.uk – T: 01793 323786 – W: www.k-ttraining.com KT Training 123 Ermin Street, Swindon, SN3 4NH E:info@kttraining.co.uk – T: 01793 323786 – W: www.k-ttraining.com