Training Course Booking Form

Training Course Booking Form

Title	Mr. Mrs. Miss
First / Forename
Surname
Aliases Other Names
DOB (dd/mm/yyyy)
Marital Status	Single Married Separated Divorced

Permanent Address
Address Line 2
Town / City
County / State
Country
Post or ZIP Code
Country of Birth
Country of Domicile
Nationality
Occupation
Telephone Number
Mobile number
Email

Courses

BTEC Courses	BTEC Close Protection Operations BTEC Door Supervisor BTEC Security Officer BTEC Diploma Surveillance Advanced Surveillance Intermediate BTEC Award Surveillance Introduction

Date and Payment

Preferred Date 1 (Y-m-d)
Preferred Date 2 (Y-m-d)
Payment Amount
Preferred payment method	Please make cheques payable to Octaga Training Services Ltd. Please do not send cash via the post. If you would like to pay by BACS please tick the box and we'll contact you with bank details. Please telephone during office hours to pay by credit card.

Please tick to say you have read & agree to the terms and conditions.

I agree to the terms	Terms: A non-refundable deposit is required to confirm your place. All course cancellations must be confirmed in writing. Cancellation fees apply as follows: Six weeks or more – no charge Four to six weeks – 25% Two to four weeks – 50% Less than two weeks - 100% Non-attendance – 100% Where circumstances dictate, another start date may be offered.

Please outline any special requirements you may have, e.g. dietary

Special Requirements
How did you find about us	Internet Recommendation Advert Other

Please select YES if you agree that all information you have given is accurate.

Declaration	Yes No