Workshop booking form

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Workshop booking form
All bookings by invoice. Payment by BACS or cheque (full instructions on the invoice)

* Indicates required field

Name *

First

Last

Contact Email *

Contact telephone number *

Organisation (or please enter N/A) *

Is your organisation in the voluntary sector? *

Event date *

Total number of delegates *

If more then 1 please provide the names and emails of the other delegates (or please enter N/A) *

All booking are by invoice. Please provide an email address we can send the invoice to. PAYMENT INSTRUCTIONS WILL BE ON THE INVOICE *

Please specify who to make the invoice out to (name of person or organisation & address) *

Would you like us to post the invoice to the above address? *

How did you hear about this training? *

This website Battle Scars email Forum Central Facebook Twitter Colleague/friend/word of mouth Trustwide (Leeds & York Partnership NHS Foundation Trust) CCG bulletin Other

If Other please specify: *

Please select your reason for attending this training *

I'm a mental health professional I'm a health professional I'm a support worker I'm a social worker I work in education Other

If Other please specify *

Any other comments including P/O number if applicable *

Book now

Training session at the Stocks Hill Hub

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Funded by:

Registered charity No 1177020

email: info@battle-scars-self-harm.org.uk
Tel (information & admin line only): 07410 380747

Website by Battle Scars

Other funders and large donors:

Leodis Pagan Circle

Workshop booking formAll bookings by invoice. Payment by BACS or cheque (full instructions on the invoice)

Workshop booking form
All bookings by invoice. Payment by BACS or cheque (full instructions on the invoice)