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Booking Form - enter your details

Payment will be made later on Invoice

Course: EFAW at Staveley, Pavillion
Certificate issued by: QNUK
Date: 15 January 2020. 9 am to 5 pm.
Duration: 1 day
Availability: Places available

Basic cost: £80.00 per person
QNUK supplement: £10.00 per person
Total cost: £90.00 per person

NB: A discount of 8% would apply if you paid in advance using a bank card instead of paying on invoice.
Bank card discount would be (8%): £7.20 per person.
Discounted cost would be: £82.80 per person.

 

PAYMENT CONTACT

Please enter the details of the person paying for this course. Details of the attendees are entered in the section headed 'Booking Details'.
If you have previously created an account with First Aid Cumbria Log in to retrieve your details, otherwise continue below.
Items marked like this* must be completed

This address will receive all emails about this course.
  • If you are booking and paying for a course for yourself put your address here.
  • If someone else is paying for your course put their address here.
  • If you are booking a course for someone else put your addresss here.

This address will receive a copy of all emails about this course.
  • If you are booking and paying for a course for yourself you can leave this blank.
  • If someone else is paying for your course put your address here so you also get copies.
  • If you are booking a course for someone else you can put their addresss here so they receive copies of the emails or you can leave it blank.

BOOKING DETAILS

List of Attendees:

Please enter the following details of each attendee if known:

  • Name
  • Date of birth - this is used for validation of the student to help maintain the integrity of our database
  • Email address
  • Email Cc address - if there is an alternative email address to which any messages for the student should be sent enter this here. If you are booking this course for other people you may wish to put your address here so that you receive messages such as certificate renewal reminders
  • Current certificate expiry date - we can credit any remaining time on a current certificate if it is brought to the first day of the course.
  • Driving Licence Number & Categories - only needed for attendees on a CPC course or wanting a CPC certificate as an add-on.

If you are attending the course please include your own details. You can enter as many attendees as you like by clicking 'Add another'.

Please note: if the attendees names are known in advance we can issue certificates on the day of the course. The name on the certificate will be the same as entered below so please enter the student's correct name e.g., David rather than Dave. Also, if we have the email addresses we will be able to email pre-course info.

If you don't know the names of the attendees please tick the box to confirm that you will send them to us later. The names can be sent later using a spreadsheet with the columns 'Firstname', 'Surname', 'Dob', 'Email', 'EmailCc' and 'LastFawExpiryDate'.

Name Date of Birth
(dd/mm/yyyy)
Email Email Cc Cert. Expires
(dd/mm/yyyy)
Driving Licence No.
& Categories
Only for CPC certificate
 


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ADD-ONS / OPTIONS

 
If you have a referral code, promotional or discount code please enter it below.
 
 
If you want to create an account so that you can log in and manage your courses or more easily book future courses please enter a password below; your password can contain any characters but must be at least 8 characters long. If you do not want to do this just leave the password blank.