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?

* 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. Catering

Lunch 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