Driver Training Provisional Course Booking Form

To reserve a place on a course please complete the form below. PLEASE NOTE: THIS BOOKING IS PROVISIONAL ONLY, AND DOES NOT GUARANTEE A PLACE ON THIS COURSE. This provisional booking must be confirmed to us in writing (including a purchase order number) within 10 working days by post or fax to: Training & Consultancy , RoSPA House, Edgbaston Park, 353 Bristol Road, Birmingham B5 7ST (Fax: 0121 248 2050). A member of the RoSPA Driver & Fleet Solutions team will then contact you to confirm your booking and preferred method of payment.

Alternatively to reserve a place on a course please download the Booking Form in PDF format 64kb, print it, complete it and fax it to 0121 248 2050.

Terms & Conditions

Your Details

Title:
Your Name:*
Position held:
Membership Number:
(if applicable)

(If you have a membership number, it MUST be quoted above to qualify for the reduced members' rate and must be held at the invoice address.)

Invoice Address

Company:*
Address:*
Post Code:*
Telephone:*
Fax:
Email:*

Venue / Delivery Address:

IMPORTANT IF COURSE NOT BEING HELD AT A RoSPA VENUE

Contact Name:
Telephone:
Address:
Post Code:

Course / Service Details

Services:

(Training course name or consultancy service plus
proposal no.)

PLEASE STATE TYPE OF VEHICLE IF APPLICABLE

Course Date:
Number of delegates:
Delegate Names:
Today's Date:*


DATA PROTECTION
By completing this form you consent to us disclosing details about you to carefully selected third parties whose products or services we believe may be of interest to you. If you do not wish us to disclose your details in this way please tick this box.

Confirm your booking within 10 days

After submitting this form, please confirm your booking to us in writing (including a purchase order number) within 10 working days by post or fax to: Training & Consultancy , RoSPA House, Edgbaston Park, 353 Bristol Road, Birmingham B5 7ST (Fax: 0121 248 2050). A member of the RoSPA Driver & Fleet Solutions team will then contact you to confirm your booking and preferred method of payment.

Please check ALL details before submitting this form. (*mandatory fields)

Terms & Conditions