CPD WORKSHOPS : BOOKING FORM

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SECTION 1 : Course details Please select from the following: COURSE TYPE LOCATION DATE MONTH Catastrophic Bleed, Airway Management and Defibrillation CPD Training Sheet 1 Please complete ALL 3 sections 2018 1-Day Course 75 + VAT ( 90) Dundee 31st May Prices effective from 1st January 2018 with a VAT Rate of 20% Exeter 11th June Chatham 30th July Telford 10th September Doncaster 5th November Colchester 19th November Privacy Notice All data collected on this form will be collected, processed and stored as per FAA s Privacy Notice. For detailed information on how personal data is stored and processed please visit www.firstaidawards.com/policies and view FAA s Data Protection Policy or email enquiries@firstaidawards.com should you have any questions. SECTION 2 : Delegate details Name Correspondence Address Company Name Address Work Tel Home Tel Mobile Primary e-mail Second e-mail (if applicable) Equal Opportunities Policy: First Aid Awards Ltd is committed to improving its provision for people with disabilities and/or learning difficulties. If there is anything that may affect your learning that you feel we should know about, please provide details below: If you have any food allergies or special dietary requirements that we will need to advise the course venue of, please provide details below: If you have a medical condition that we should be aware of (i.e. diabetes, epilepsy, etc.) please provide details below: Date of Birth:(dd/mm/yyyy) / / Sex: (Male/Female)

SECTION 3 : Payment details - amount payable: Sheet 2 Please fill in the details below and then select a payment option below. If your employer is paying, please go to section 4 on page 3. Contact Name Company Name (if applicable) Billing Address Primary e-mail Telephone Option 1 - I wish to pay by Credit/Debit card Card type: Mastercard Visa Visa Debit Card Number Valid from Name on card Expiry date 3-digit security code Option 2 - I wish to be invoiced to my account - Account name: Account number: Purchase Order No: (Please send us a hard copy) Option 3 - My employer will be paying for this course (Go to section 4 on page 3) Option 4 - Payment by cheque - No. (enclosed) Please make cheques payable to First Aid Awards Ltd I agree to abide by the terms and conditions. I can confirm that I have been informed about the pre-requisites in respect of attending this/these course/s and can confirm that I have the appropriate knowledge of the subject of the course/s that I am attending. Signed Print name Date

SECTION 4 : Invoice to my employer (Please complete these details if you would like your employer to be invoiced for your course) Please note: Payment is due under booking Terms and Conditions at paragraph 4. Sheet 3 Contact Name Position within Company Company Name Address 1 Address 2 Address 3 Telephone Email address (if known) Trading Style: Sole Trader Limited Company Local Authority or Charity Company Registration Number Purchase Order No: (if required) (Please enclose a copy) I agree to abide by the terms and conditions. I can confirm that I have been informed about the pre-requisites in respect of attending this/these course/s and can confirm that I have the appropriate knowledge of the subject of the course/s that I am attending. Signed Print name Date

TERMS AND CONDITIONS FOR COURSE BOOKINGS Bookings are made subject to the following terms and conditions as set out below: 1. PROVISIONAL BOOKINGS To register interest in a course, a provisional booking may be taken pending the return of the completed booking form. A provisional booking will not guarantee your place on the course unless a deposit has been made of at least 20% of the total course fee. Returned course booking forms will have priority over provisional bookings. 2. COURSE BOOKINGS In order to secure a course booking, FAA require the completion of the relevant Course Booking Form to be completed and returned by email or post along with a 20% deposit, full payment or with a pre-arranged credit facility with FAA. 3. PAYMENT TERMS Our standard payment terms require either full payment or a 20% deposit of the total price taken at the time of booking to secure your course place unless otherwise agreed. The remaining balance will become due no later than 28 days prior to course commencement. Where bookings are made within 28 days of course commencement, full payment will be required at the time of booking unless a credit facility is in place between yourself and FAA. Payment can be made by credit/debit card, cheque or BACS. 4. PAYMENT BY EMPLOYER A course place will be held as a provisional booking until credit checks have been performed. Should these be successful your course place will be confirmed and an invoice will be sent to your employer. Please quote purchase order numbers where applicable. Our standard credit terms for account customers are 30 days from date of invoice. Should your employer be unsuccessful during a credit check we will provide a proforma invoice and payment will be required to confirm your booking and your booking will be classed as provisional until payment has been made, please see Term 1, as above. 5. TRANSFERRING COURSES Should circumstances mean that you need to transfer to another course the following charges will apply, dependent on the notice given: First transfer, made more than four weeks prior to the course start date - no charge Two to four weeks notice given - 25% of the course fee Less than two weeks notice given - 50% of the course fee All transfers must be taken within a period of six months. 6. CANCELLATIONS Should circumstances mean that you have to cancel your course and are unable to transfer your booking to another date at the time of cancellation, the following charges will apply: More than four weeks prior to the course start date - no charge Two to four weeks prior to the course - 50% of the course fee Less than two weeks prior to the course - full fee NB Cancellation must be made in writing by post, fax or email and received by the due date. 7. NON-ATTENDANCE If you do not attend a course, and you have not previously informed us, the full course fee remains payable and non-refundable. 8. LATE ARRIVALS / MISSED SESSIONS If you arrive late for a course or are absent from any session, we reserve the right to refuse to accept you for training if we feel you will gain insufficient knowledge or skills in the time remaining. In all such cases, the full course fee remains payable. 09.11.2017 : V1.1 Company Reg. No. 7068579 First Aid Awards Ltd 2017

TERMS AND CONDITIONS FOR COURSE BOOKINGS 9. CERTIFICATION Certificates are provided for successful completion of training/assessment as appropriate and are supplied only following full settlement of course fees. 10. UNFORESEEN CIRCUMSTANCES 11. VAT On occasions, unforeseen circumstances may require us to cancel a course. In such circumstances you will be given as much notice as possible and either a free transfer to another course date or a full refund of fees paid. All course fees are subject to the current VAT (valid exemptions only). 12. DISTANCE SELLING REGULATIONS 2000 We abide by the applicable elements of the Distance Selling Regulations 2000. First Aid Awards Ltd reserves the right to change course fees or terms and conditions at any time. 09.11.2017 : V1.1 Company Reg. No. 7068579 First Aid Awards Ltd 2017