/ 2015 Flu ServiceTraining
Faxback Order Form
01827 841 233
Training delegate name and Numark member number (if applicable) (complete one form per delegate):
Address:
Telephone number: / Company PO number: ______
Delegate Email address: (please print clearly as training links will be sent to this address)
Face to face practical training
AM Session Training session 9.00am – 1.30pm (Registration from 8.30am)
PM Session Training session 2.00pm – 6.30pm (Registration from 1.30pm)
Date / Venue / NHS Only
£162.00
inc VAT / Upgrade to Private Service
(3 PGDs) – Additional Price / TOTAL
Numark Members
£60.00 inc VAT / Non Numark Members
£78.00 inc VAT
Saturday 5th Sept (AM) / Future Inn Bristol, Bond Street South, Bristol, BS1 3EN
Saturday 5th Sept (PM) / Future Inn Bristol, Bond Street South, Bristol, BS1 3EN
Sunday 13th Sept (AM) / Future Inn Bristol, Bond Street South, Bristol, BS1 3EN
Sunday 13th Sept (PM) / Future Inn Bristol, Bond Street South, Bristol, BS1 3EN
Online refresher training
Date / NHS
Only
£54.00
inc VAT / Upgrade to Private Service
(3 PGDs) – Additional Price / TOTAL
Numark Members
£60.00 inc VAT / Non Numark Members
£78.00 inc VAT
Available from 1st August 2015 / Link to online training and registration details will be provided from 1st August 2015 and when full payment has been received by Numark.
Please arrange payment by BACs using the following details. Numark member fees will be collected via Numark direct debit.
An invoice and confirmation will be sent to you on receipt.
Bank: Barclays / Account Name: Numark Limited
Account No: 20421561 / Sort Code: 20-25-69
Terms and conditions
By executing this order form the customer accepts that the provision of the service above shall be subject to Numark’s terms and conditions: https://www.numarknet.com/terms-conditions/flu-service-workshop-terms-and-conditions-members-and-non-members
I have read and understood the content of this completed order form and I agree with the Numark terms of sale above.
Signed ______Date ______
Name and position ______
Registered Office - Numark Ltd, Numark House, 5/6 Fairway Court, Amber Close, Tamworth Business Park,
Tamworth, Staffordshire, B77 4RP
Telephone: *0800 783 5709 Fax: 01827 841 233
Company Reg. No 4503052 Registered in England and Wales
*Calls may be recorded for training and quality control purposes

Please FAX completed to Service Development on 01827 841 233