ORDER FORM FOR NSPCC KEEPING CHILDREN SAFE ONLINE PROGRAMMES

Please return this form to: EduCare, 31-33 Warwick Street, Royal Leamington Spa, CV32 5JX

Or E-mail to or Fax to: 01926 436216 or to place an order via telephone

Tel: 01926 436 209. Within 24hrs – 48hrs of receiving the form the Contact will receive a welcome email with their personal user name, a password and a link to the online learning platform where participants can be registered.

Contact’s Name
Contact’s Email Address
Number of Places Required
County/Area/Region
District
Group
Contact’s Role
Telephone number
Scout Membership Number
Full Postal Address to despatch receipt to:

£4.00 per participant, plus VAT (£4.80 inc VAT per person)

Payment options:

1. CHEQUE – I enclose a cheque to the value of / £ / made payable to ‘EduCare’
2. CREDIT/DEBIT CARD* – Debit my account / £ / PLEASE COMPLETE ALL THE FOLLOWING INFORMATION
MasterCard / Delta / Visa / Maestro Issue No: / START DATE:
Cardholder’s name: / EXPIRY DATE:
Cardholder’s postcode: / - / Cardholder’s house/door no:
Card no: / - / - / - / - / 3 digit security No from back of card

*Although we accept payment by credit card there is a 3.5% charge and we regret to inform you that we are unable to accept Solo/Visa Electron cards. There is no additional charge for debit cards.

3. INVOICE – For orders over £100.00 (plus VAT) ONLY. Please enter a purchase order number below and your invoice address:

PO NUMBER: / INVOICE ADDRESS:

This form is for online programmes ONLY. If you would like to order the paper version of the programme, please e-mail