Training Course - Provisional 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 7 working days, post or fax to the address below. A member of the RoSPA Training & Consultancy 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 58kb, print it, complete it and fax it to 0121 248 2050.

Terms & Conditions

Step One: Company/Organisation Details

Booking contact:
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.)

Company:*
Address:*
Post Code:*
Telephone:*
Fax:
Email:*
Number of Employees:*
Nature of Business:*

Step Two: Delegate Information

Delegate Information:
Title:
Name:*
Position held:
Mail Address:
Address:
Post Code:
Telephone:
Fax:
Email:*

Step Three: Course Details

Course Details:
Course Title:*
Course Date:
Venue:


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.

Today's date (UK):

Confirm your booking within 7 days

After submitting this form, please confirm your booking to us in writing (including a purchase order number) within 7 working days by post or fax to: Course Booking Office, RoSPA House, Edgbaston Park,353 Bristol Road, Birmingham B5 7ST (Fax: 0121 248 2050) or RoSPA Scotland, Livingstone House, 43 Discovery Terrace, Heriot-Watt University Research Park, Edinburgh EH14 4AP (Fax: 0131 449 9380). A member of the RoSPA Training & Consultancy 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