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* 1. Organisation Name:

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* 2. Organisation Contact:

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* 3. Course Booking:

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* 4. Course Date and Time:

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* 5. Estimated participant number (maximum 20):

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* 6. Name and address for invoice:

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* 7. Training location details:

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* 8. Contact person (on the day) please include name and contact number:

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* 9. Purchase Order Number required?

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* 10. If Purchase Order Number required please insert number below:

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* 11. Please note in the event of cancellation a fee will be charged. Please see our Cancellation Policy for more information.

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* 12. I understand the terms and conditions in booking this course and I have read the Cancellation Policy.

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* 13. Please confirm with your name and date below.

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