<p> South Hams CVS Learning Programme Booking Form</p><p>Please fill in & return by email to: [email protected] OR by post to: South Hams CVS, The Cottage, Follaton House, Plymouth Road, Totnes, Devon TQ9 5NE. Form & payment are required at least one week in advance to confirm your place.</p><p>Course Name: Date/Time: </p><p>Cost: ______Venue: 10% reduction for CVS Local Supporters – please confirm current membership with the office, or ask us about joining! Name: Participant’s details Email: (one form per participant) Telephone: Name: Organisation details: Address:</p><p>Please tell us if you have any support needs or have any other specific requirements.</p><p>How did you hear about this course?</p><p>DeVA/CVS Website  Devon Voluntary Action bulletin  Word of mouth  CVS e-bulletin  Other (please state): …………………………………………………………………………….. How will you be paying? (Form & payment are required by one week in advance to confirm booking. See reverse for payment details).</p><p>Cheque  BACS  I have read and accept the terms and conditions overleaf </p><p>Participant’s Signature:…………………………………………Date: …………………</p><p>It will help the trainer and our evaluation if you could answer the following question:</p><p>1. If there is just one thing that you want to take away from the course, what would it be? P.T.O. </p><p>Venue Venues are fully accessible to wheelchair users. However please notify us of any special requirements so that we may adequately provide for your needs and comfort.</p><p>Catering Tea, coffee and biscuits will be provided at the venue. However, to keep costs down we do not provide lunch, unless indicated. Please bring a packed lunch if you wish.</p><p>Booking Terms and Conditions Booking & Payment Deadline: one week before event (except by arrangement). Please use a separate form for each person and course you are booking. Bookings will only be confirmed on receipt of a completed booking form and fee. Following receipt of these, we will send confirmation of your place, together with details and directions.</p><p>Initially, a maximum of TWO people only from a single organisation will be accepted onto any one training course. If you would like other places to be put on a waiting list please let us know at the time of booking and if spaces become available close to the date of the course, we will contact you.</p><p>Cancellation terms If you are unable to attend you may send someone in your place or: More than two weeks notice - full refund less £5 administration charge Less than two weeks notice - full amount payable </p><p>The CVS reserves the right to cancel or postpone courses due to insufficient registration, in which event a full refund will be offered. In the event of a course being cancelled, at least 5 days’ notice will be given, unless circumstances beyond our control intervene. Payment Please pay by either BACs or cheque. One payment per organisation:</p><p>Payment by BACS to: CAF Bank Ltd, Kings Hill, West Malling, Kent, ME19 4JQ Sort Code: 40-52-40 Account Number: 00094687</p><p>Please use BACS payment ref SHCVS(name of course). If the payment is not coming from the main contact or the organisation’s bank account please let us know to help us link the payment to your organisation.</p><p>Please make cheques payable to ‘South Hams Community and Voluntary Services’.</p><p>Extra copies of this form are available from the CVS but please feel free to photocopy it.</p>