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Course Booking Form

Our online booking form allows you to get booked on to one of our courses. Please note no payment is taken from here, we will contact you directly regarding payment. If you have any questions please contact us on 01476 978 338.

SECTION 1 - Course Details

Venue:
Date:

SECTION 2 - Learner Details

Your Name:
Your Home Address (inc full postcode):
Your Work Address (inc full postcode) - if applicable:
Your Contact Phone Number (mobile and/or landline):
Your Email:
EOP (Equal Opportunities Policy)
If there is anything that may affect your learning that you feel we should be aware of, please provide details below:

If you have a medical condition that we should be aware of i.e. epilepsy, diabetes etc.. please provide details below:

Date of birth:

Please confirm your gender identity i.e. Male, Female.

SECTION 3 - Payment Details

Please complete these details, select a payment option below, and then complete the relevant information for that option:
Total amount for course £
Contact Name:
Company Name:
Billing Address:
Billing Email:
Billing Contact Number:
Payment option: Bank Transfer (3.1)Invoice (3.2)

SECTION 3.1 - Option 1 - BANK TRANSFER

Account Name:
Account Number:
Sort Code:
Reference (Your surname and course date):

SECTION 3.2 - Option 2 - INVOICE

(Please note that payment is due on receipt of the invoice in order to secure a place on the course.)
Company Registration No. / Proprietors Name:
P/O Number:

SECTION 4 - AGREEMENT & SUBMISSION

"I agree to abide by the Terms & Conditions of the course booking process laid out by Gryphon Safety & Security. I accept and understand that a course place will not be considered 'booked' or a place reserved on the system for me until full payment has been received. By ticking the 'I CONFIRM' box below I am confirming that I have read, understood, and accept in full, the Terms & Conditions of booking."

"I CONFIRM"

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