Transgender Training Course (South West) - Booking Form Thursday 5th October 2017 Time: 09:00 to 16:00 Cullompton Community Centre, Pye Corner, Cullompton EX15 1JX We just need a few details from you so we can book you a place on our training day. * 1. Which agencies/consortium/RAA will be represented? * 2. Is your agency a member of New Family Social? (There is a preferential booking rate for member agencies) Yes No and we don't want to join at the moment No, but we'd like to join I'm not sure * 3. Who is the main contact for this booking? Name Job Title Contact Number Email * 4. How many delegates will be attending the day? 1 2 3 4 5 * 5. Who will be attending the event? i. ii. iii. iv. v. * 6. Do any of those attending need adaptations to make the event accessible to them? * 7. CateringLunch will be provided for delegates. Please let us know here if any of your party have special dietary needs. Price (including lunch): £150 per delegate from a NFS member agency£200 per delegate from a NFS non-member agency * 8. Contact for Invoicing Name Email Address * 9. Purchase Order Number Next