Short Course / Cpd Workshop

BOOKING FORM

SHORT COURSE / CPD WORKSHOP

You may book multiple courses using this form

If you are arranging a private group session please use the group booking form

COURSE TITLE / DATE / NO. PLACES REQ / TOTAL FEE / AMOUNT
PAID
[min deposit 50.00] / DISCOUNT CLAIMED
5% FHT membership
[supply membership no.]
5% Full payment discount
ONLY ONE DISCOUNT MAY BE CLAIMED PER BOOKING

· I have read and agree to abide by the booking terms and conditions [copy available online and on request]

· I understand that a non- refundable deposit of £50.00 is required to secure my place and that the balance of all fees is due by commencement of training.

NAME :
ADDRESS :
TEL. No :
EMAIL:
ARE YOU SENDING COPIES OF CERTIFICATES YES □ NO □
[If previous qualification certificates are required as a pre-requisite, these must be supplied before qualification can be given]
DO YOU HAVE ANY SPECIAL DIETARY REQUIREMENTS?
PLEASE LET US KNOW
· IF YOU HAVE A DISABILITY THAT WE NEED TO BE AWARE OF: YES □ NO □
IF YES DETAILS:
· IF YOU ARE PREGNANT: YES □ NO □
· IF YOU ARE TAKING MEDICATION: YES □ NO □
SIGNATURE: DATE :

ALL INFORMATION SUPPLIED IS CONFIDENTIAL

· Please make cheques payable to L. Davis

· A receipt will be sent to you by post or email to confirm your booking [a hard copy receipt for fees will be provided when you attend your course]

· A confirmation letter will be sent to you with your receipt giving full details of venue, directions, and course requirements on receipt of your booking form and deposit.

· If you will be unable to attend your course please let us know as soon as you can. Please see cancellations policy.

Please return this form online, by email or post :

Post to :Lorraine Davis Holistic Healthcare and Education Centre, Pike House, Edwyn Ralph, Bromyard, Herefordshire, HR7 4LT

Email:

You can complete this form online at : www.lorrainedavistraining.co.uk

We look forward to meeting you

– if you have any queries before your course starts please feel free to contact us – we are here to help!

Tel: 01885 – 488548 Email: