ࡱ> GIF @ )bjbj ;؝؝     $D,|||||   $tRxEq ||<^|||p 0S j}TR0>>$>l et    D  Booking Form  Course Title: Date: Surname: First name: Organisation: Job title: STATUS: Trustee / Volunteer / Paid staff FULL TIME / Paid staff PART TIME *delete as appropriate  Contact address: Invoice address: (if applicable)  Postcode:  Postcode: Tel No. (mobile for emergencies on course days): Tel No. (work): Email: Please give details of any practical support you may need or dietary requirements: Date of Birth: Ethnic Origin: Data Protection Information given on this form will be transferred to a computer database to used to manage course administration. Summarised anonymous monitoring information may be passed on to funders. We never pass on your personal details to any other organisation. Our courses are publicised by a termly brochure, our website and a monthly electronic newsletter which you can sign up to receive from the website. If you do NOT want course brochures sent to you by POST please tick here q I have read and accept the booking conditions  Signature of participant/organisational representative Booking Conditions Telephone Bookings We are happy to reserve you a place over the phone but please note telephone bookings are provisionally held for 7 days only and cannot be guaranteed until both booking form and cheque have been received by VST. Payment Full day courses 50, half day 25 Two day (PQASSO) 80 Three day (ARU - Project Management) 100 To secure your place, please enclose a cheque made payable to Voluntary Sector Training with your booking form. If you would like to be invoiced please make sure you state address that invoice should go to. . Do not send money if you are applying for a free place (see below). Free Places Fund Free course places are available through funding from the Skills Investment Fund which is managed by Essex Community Foundation. In order to ensure that this fund is used to support those in most need, it is intended that free places be directed to those organisations with income less than 20,000 per year. Please note the number of places is limited and is only available to organisations based within VSTs area of operation (see map on back of brochure/website Contact Us page). If your group/organisation has income less than this level and you would like to apply, please tick the box and we will send you a form to complete. q Cancellations Cancellation of bookings can be made in writing up to 4 weeks before the course date and a refund will be paid. 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Return form with payment if applicable to: Voluntary Sector Training, 46 High Street, Great Dunmow, Essex, CM6 1AN (())r v5r r gdvgdv21h:p. 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