|
|
ESSENCE Payment Options
|
(Option A) |
10th - 13th April 2008 |
Please note that you must have first completed our OUTLOOK Course
Please COMPLETE EVERY FIELD Below
|
Your Name: |
|
|
Address: |
|
|
|
|
|
Town: |
|
|
County: |
|
|
Postcode: |
|
|
Date of Birth: |
|
|
Email: |
|
|
Home Phone: |
|
|
Work Phone: |
|
|
Mob Phone: |
|
|
Fax: |
|
|
When did you participate in OUTLOOK? |
|
We
can also
offer
you a BUDGET PAYMENT PLAN. |
|
|
|
|
Payment
by: |
Credit/Debit
Card
Cheque/Postal Order |
|
Card type: |
|
|
Card No: |
|
|
Expiry Date: |
|
|
Issue no: |
(Only required for Maestro, Solo & Delta) |
|
3-digit security number: |
(Last 3 digits printed on reverse of your card) |
|
Start
Date |
|
Amount to Pay:
or
by CHEQUE (Payable to "The Outlook Training Organisation")
and
please
post it to the address shown above.
Please
complete the form above and post your cheqas soon as possible to
secure your place.
PLEASE
NOTE THAT FULL PAYMENT MUST HAVE BEEN RECEIVED
AT
LEAST 14
DAYS PRIOR TO THE DATE TRAINING COMMENCES.
If
your Company is paying for you, please give the company address below,
and
for whose attention the invoice should be directed.
|
For the Attn: |
|
|
Company Name: |
|
|
Address: |
|
|
Town: |
|
|
|
|
County: |
|
|
Postcode: |
|
The
GCB Hall, Britannia Road, London N12 9RU (UK)
Telephone +44 (0)845-OUTLOOK (6885665)
Fax:
+44 (0)870-0941645 Email: office@outlooktraining.org
A "Not-for-Profit" Training Organisation. Registered Charity No: 1102559