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Name of Delegate 2:
Job Title:
Name of Delegate 3:
Job Title:
Name of Course:
Date of Course:
School Name:
School Address:
Postcode:
Telephone Number:
Email:
Please state any special requirements, e.g. accessibility to venue, dietary needs:
Application Form Course Fees
Course fees are payable in advance. On receipt of your application form Shenley Brook End School (Leadership and Training Centre) will invoice you for the full amount. Your place on the training course will be confirmed when full payment is received. Further details and directions
to the venues will be provided with the confirmation. The fee includes any course materials and light refreshments. Please provide your invoicing details below
Purchase Order Number:
Invoice Contact Name:
Invoice Address:
Postcode:
Cancellations
There will be no refunds made for cancellation by the delegate. However, substitutions may be made at any time prior to the start of the course.
The Leadership and Training Centre reserves the right to cancel the course at any time should circumstances require this. In this instance the full fee will be refunded.
Signature
I wish to book the specified delegate on the course detailed on this form. I accept the booking terms.
Print Name: Signature:
Date:
HOW TO APPLY:
Please complete this application form and return to Julie East ([email protected])FOR FURTHER INFORMATION:Contact: Julie East, Leadership & Training Centre Administrator,
Shenley Brook End School, Walbank Grove, Shenley Brook End, Milton Keynes, MK5 7 BQ
Tel: 01908 524894Email: [email protected]