Course:
Date of Course:
Location:
Number of Places required:
Select method of payment:	Please selectCheque enclosedBACSInvoice Required
An invoice will be raised to confirm payment

Organisation Details

Your Organisation Name:
Your Full Name:
Contact Email Address:
Invoice Address:
Postcode:
Any specific requirements to ensure you get the most from the learning experience or for catering provisions:

Delegate Details

1st Delegate
Title	MrMrsMissMs	Email Address:
First Name:		Telephone No :
Surname:		Job Title:

2nd Delegate
Title	MrMrsMissMs	Email Address:
First Name:		Telephone No :
Surname:		Job Title:

3rd Delegate
Title	MrMrsMissMs	Email Address:
First Name:		Telephone No :
Surname:		Job Title:

4th Delegate
Title	MrMrsMissMs	Email Address:
First Name:		Telephone No :
Surname:		Job Title:

Agree to Terms & Submit Form

I have read and agree to abide by all terms and booking conditions below:




Information held on this form will be held on our database and may be used to send you information about future events and services. We do not send your details onto any external companies for marketing purposes. If you do not want to receive information on future courses please tick the box.




How did you find out about Genesis Learning Solutions?


Please select
Email Promotion
Advert
Local Press
Word of Mouth
Training Programme
Promotional Leaflet
Networking Meeting
Internet






Terms and Conditions

Signature and completion of this booking form constitutes a legally binding agreement.

Upon receipt of your booking we will send you confirmation that we have received your booking within 3 working days. If you do not receive confirmation within 3 working days, please contact us by telephone or email. Detailed joining instructions including confirmation of the venue will follow within 7 days of the course date.

Cancellations and transfers will only be accepted if made in writing/email and received at least four weeks before the start of the course. Later cancellations cannot be accepted and the full payment will remain payable.

We reserve the right to improve the learning outcomes and format of our courses for the benefit of our customers without notice to the customer. Also we reserve the right to change the location, date of the event and facilitator although this will be avoided where possible. You will be informed at the earliest opportunity if any changes are made.

Cancellation and/or re-scheduling of any course will be avoided and will only take place once all other options have been considered. When this is unavoidable we will provide the option of a full refund or the offer of a re-scheduled or alternative course


Methods of Payment

Payment is due once a booking has been made – if payment is not received 7 days before the date of the course we reserve the right to refuse your attendance on the course

We reserve the right to charge a late payment charge calculated at the rate of 3% per month accruing daily from the date the invoice becomes due for payment.

Any special payment arrangements must be agreed in advance of the course booking being accepted.

Please send payments to the address above and a VAT Invoice will be issued on receipt of payment.


Copyright

The copyright and all other intellectual property rights in all course materials shall remain the sole and exclusive property of Genesis Learning Solutions or, in the case of a course developed by a Course Facilitator, then the Course Facilitator will have these rights.