Health and Safety

REGISTRATION FORM Please complete in BLOCK CAPITALS

Course Titles
IOSH “Managing Safely” - 4 Days -Bristol - 26th, 27th Jan, 2nd3rd Feb 2017
IOSH “Managing Safely”Refresher 1 day - Bristol 6thMarch 2017
Original Certificate number ...... (must still be valid)
IOSH “Working Safely” – 1 Day – Bristol - 1st February 2017 / £549.00+VAT to include all fees and lunch *Book 2 places and get a 3rdplace FREE*
£195.00 +VAT to include all fees and lunch
£165.00 + VAT to include all fees and lunch
COSHH Assessor- 1 Day - Bristol - TBA
Manual Handling “Train the Trainer”3 days – 14th – 16th March 2017 / £175.00 + VAT to include all fees and lunch
£450.00 + VAT to include all fees and lunch
CCNSG 2 Day Passport – Bristol
CCNSG 1 Day Renewal – Bristol / £225.00 + VAT to include all fees and lunch
£125.00 + VAT to include all fees and lunch

*all delegates must attend the same course

Company Name:
Address:
Postcode: / Tel:
email:
Delegate Name / Course / Date
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2
3
4
5
6

Special Requirements

Please advise us if any delegates have special needs (e.g. dietary, disability or learning)

PAYMENT METHODS

VAT at standard rate is chargeable on all prices quoted.
# Please ensure you add VAT to the course fee.

I enclose a cheque for £# ______made payable to Line Business Services Limited OR

Please debit myVisa Mastercard Maestro to the value of £# ______

Please complete all information below but providelast 4 digits of your card number only with
a contact number for us to call for the remainder of your card details/CVV code.

Contact No.

In line with Payment Card Industry Data Security Standards YOU SHOULD NEVEREMAIL OR
FAX YOUR FULL UNENCRYPTED CARD NUMBER OR CVV SECURITY CODE

Card No.Expiry date:

Issue No.Account Holder:

Address of Account Holder if different to above (pls ensure this includes postcode):

OR

Please invoice my organisation using Purchase OrderNumber:

On receipt of a valid purchase order a pro-forma invoice will be issued and payment must be made before training commences.

Authorised by: …………………………………………Position: ……………………………..

Signature: …………………………………………………..

Booking conditions

Bookings are accepted on a strictly first come first served basis. Your booking will be deemed confirmed either on receipt of the full course fee or provision of a purchase order or other instruction to invoice whichever is the earlier event.

A VAT receipt will be provided for all fees received.

Course fees are payable in full for all confirmed bookings, subject to our cancellation policy as follows:

Cancellation of confirmed bookings must be made in writing to the Head of Health & Safety Services, Line Business Services at or at the address below.

Refunds will only be available as follows:

Notification of cancellation received 31-45 calendar days prior to course commencement - 50% refund

Notification of cancellation received less than 30 calendar days prior to course commencement – Nil refund.

No refund will be made for delegates failing to complete the course.

Line Business Services Limited  Avon House  Avon Mill Lane  Keynsham  Bristol BS31 2UG

Tel: 0117 986 2194  Fax: 0872 110 8348 

Registered in England No. 5599751