Training booking form

Please complete the following information. Questions marked * are required.

Course one

Course one title: *

Course one date: *

Course one fee: * £

Course two

Course two title:

Course two date:

Course two fee: £

Course three

Course three title:

Course three date:

Course three fee: £

Total fees: * £

About you

Your name: *

Job:

Organisation:

Address: *

Postcode:

Telephone: *

Email:

Special needs or dietary requirements:

Payment information

Payment method: *

Cheque

Invoice

Name and job title: *

Organisation:

Address: *

Postcode:

Telephone: *

Email:

Message:

If you are paying by cheque please make it payable to 'Bristol Mind Ltd'
and send by post with your name and address to:
Bristol Mind, 35 Old Market Street, Bristol BS2 0EZ

Cancellations received more than 21 days before the course will be subject to a £20 administration charge.
For cancellations received less than 21 days before the course, no refund will be made.
Where possible, bookings can be transferred up to 21 days before the course, subject to a £20 administration fee.
All cancellations, transfers and other changes to bookings must be confirmed in writing or by email.
By submitting this form you agree that you have read and understand the booking and cancellation terms.

What is two add 4?: *

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Training booking form

Training

Bristol Mental Health Resources