Printable booking form - Stephen Lloyd Training

Tel: 01364 652845

Stephen Lloyd Training booking form

After completing this form, please print it out and fax it to 01364 653578 or send it by post to: Stephen Lloyd Training, 68 East Street, Ashburton, Devon TQ13 7AX. Alternatively you can book on-line.

Booking a course with Stephen Lloyd Training implies acceptance of our booking conditions. Please read them carefully before completing this form.

When we receive your booking we will issue an invoice. Please ensure that full payment is made at least three working days before the course begins.

Our bank details for BACS payments will be included on the invoice.

Course details
Course title
Course date and location
Course fee
	* A 20% discount is available to charities and local authorities.

Delegate details
Title
Surname
Forename
Company or organisation
Job title
Telephone number
Address for joining instructions
Post code
E-mail address
Special dietary requirements
I require wheelchair access

Booker details
This booking is being made by	The delegate named above
	Someone else - please complete the fields below
Your name
Your job title
Your telephone number
Your e-mail address

Payment details
20% charity / local authority discount	I wish to claim this discount – please complete the box below
Charity number or local authority name
Total amount payable including VAT

Payment method	Cheque enclosed.
	I will send a cheque in the post.
	BACS (our bank details will be included on the invoice)
Purchase order number (optional)
Name to appear on invoice
Invoice address
Post code