DVCI VAWG TRAINING

Supporting the strategic delivery of the Coordinated Community Response to domestic abuse and violence against women and girls

Course Booking Form
Booking For London Course Dates

21/22 Jan, 25/26 Feb, 24/25 March 2020

***PLEASE NOTE THE UPDATED DATE IN FEBRUARY WHICH NOW AVOIDS THE SCHOOL HALF TERM BREAK***
Delegate Details

PLEASE NOTE THAT IN ADDITION TO THE 6 FULL TRAINING DAYS YOU WILL ALSO NEED TO ALLOCATE SEVERAL DAYS FOR STUDY AND ASSIGNMENTS. PLEASE ENSURE THAT THIS HAS BEEN SIGNED OFF BY YOUR MANAGER.
I would like to:

Book my place on this courseRegister my interest for future coursesOther
Name*

First NameLast Name
Job Title:*
Employing Organisation:*
Address*
Town / City*
Post Code*
E-mail*

Confirmation Email
Phone Number:

Area CodePhone Number
Mobile:
Access Requirements:
Managers Name*

First NameLast Name
Managers Email*

Confirmation Emailexample@example.com
Payment Details
The course cost is £1000 for 6 days
Payment options*

ChequeInvoice MeSecurely online with PayPal
Send a cheque payable to 'Standing Together Against Domestic Violence' with your name and organisations written on the back
Invoice Contact Name and Address with Purchase Order Number (if required)*
Payment by PayPal*
prevnext( X )
CCR Leaders Course 2020£1,000.00

Dummy£ Free
Any notes or instructions:
Cancellation: 50% of delegate fee will be refunded for cancellations received up to 14 days before the event. We regret that no refund can be given after this time, although substitutions can be made.
www.standingtogether.org.uk / admin@standingtogether.org.uk / 020 8748 5717
Should be Empty:

Delegate Details

Payment Details