Training Course - Invoice Request

Please use one form per delegate. Please note that fees should be paid in full prior to the event.

Please direct all queries or changes in writing to:

Inclusion Training

3rd Floor, 89 Albert Embankment

London SE1 7TP

Tel: +44 (0) 20 7582 7221

Fax: +44 (0) 20 7582 6391

Email: events@cesi.org.uk

FULL booking fees are applicable to all Private sector companies.

REDUCED booking fees are payable for voluntary and not-for-profit organisations

Details of person attending training course
	Course Title *
	Your Name *
	Job Title *
	Organisation *
	Purchase Order Number
	Contact Address *
	Postcode *
	Telephone number *
	Fax No
	Email (joining papers will be emailed to this address) *
	Website
	Any other special needs (e.g. Mobility problems, wheelchair user, braille)
	Special dietary requirements (e.g. gluten free or nut allergy)
	Type of Organisation *
	Are you an Inclusion subscriber? *	Yes No
Invoice details if different from above
	Name
	Organisation
	Address
	Email (Invoices will be emailed to this address) *
	Postcode
	Contact Telphone Number
Booking Options
	Training Course Fee: Please select (Fees shown are exclusive of VAT at 17.5%) *	Private Sector- £220 Public Sector and Academic Institutes- £190 Charity, Voluntary and Not-for-profit- £135
	10% for full Inclusion Discount *	Yes No