Registration Form

Training Registration Form

Course Title

Course Dates

Payment must be made in full on application

If your employer is paying, you must provide us with a purchase order number in order to secure your place. Please complete all sections and submit the form or by post with your full payment to the address below.

Name

Job Title

Add more people Remove Person

Organisation

E-mail

Where did you hear about this event?

Telephone

Any special requirements

Any questions?

Total Payable

Address for receipt/invoice

Please provide the name of the person/ organisation making payment

Total Price

Address

PO number

Name

E-mail

Training Course Cancellation Policy

Substitutions are welcome up until the date of the course.

Adoptionplus will levy the following charges in the event of cancellation:

More than six weeks prior to the event – 25% of the fee
Between four and six weeks prior to the event – 50% of the fee
Cancellations less than four weeks before the date of the event are non-refundable

Tick to confirm you have read and understood the cancellation policy

I confirm that I have the authority of my employer to incur this expenditure. I understand that invoices must be paid before my place is confirmed.

Signed

Date

Payment Methods

By Bacs:

Our bank details are:

Bank name:	Barclays Bank
Sort Code:	20-57-30
Account Number:	50433608

Please email your remittance advice to trainingwithus@adoptionplus.co.uk
Details should include name of attendee, telephone number, date and amount.

By Post:

Please send a cheque with your completed order form, made payable to:

Adoptionplus
Unit 3, Moulsoe Business Centre
Cranfield Road
Moulsoe
Newport Pagnell
MK16 0FJ