Booking form for Take 3 Training : Stratford, East

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Take 3 Training Booking Form : South Wales (Porthcawl) Dec/Jan 15/16
Training Dates : 3rd, 9th, 10th December & 14th January
Name:
Job Title (if relevant):
Address (and organisation, if relevant):
Postcode:
Email:
Telephone (please include a mobile no.):
Any special requirements:
I wish to attend (please tick as appropriate):
[ ] 4-day training @ £460 (includes 1-day workshop)
[ ] 3-day training @ £360 (standard accredited training)
[ ] 1-day workshop @ £125 (I have already attended the 3-day training Y/N)
Other costs:
[ ] Submission of Accreditation Portfolio @ £45
[ ] Purchase of Take 3 Pack @ £135
[ ] Loan of Take 3 Pack @ £15
(N.B. Each participant will need access to a Take 3 pack for the training. Copies are available
for loan @ £15 each and must be returned at the end of the training)
Please invoice me/my organisation for the sum of……………………………………………………..
Invoice address (if different from above) :
Signed:
Date:
Please return form by e-mail by 22nd OCTOBER 2015
Email: [email protected]
Telephone enquiries: 01865 374910 / 07789 060421
(Please see over for cancellation charges)
Cancellation charges
Weeks notice
Fee
Less than 4 weeks
Full fee payable
4 – 8 weeks
50% fee payable
More than 8 weeks
No fee payable
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