Course Booking Form

Company Name (if applicable):


Contact Name:

Email Address:

Telephone No:

Course Title:

Date of Course:

Candidate Name(s):

Please ensure the above candidate information is correct as certificates will be produced based on the information provided. Any alterations due to incorrect information will be charged for.

Please note: If you have any access or special requirements please let us know, so that we can make reasonable adjustments for you (eg.wheelchair access, dyslexia, large print, language etc).

At the end of the course the candidate will sit a multiple choice exam paper written in English. Other languages are available upon request.

Please specify if another language other than English is required:

Please complete this form at least 10 days before commencement of the course.

I confirm my booking for the above course. Please refer to the web-site for our cancellation policy and standard terms and conditions.

Payment to be made within 14 days of the date of training. Payment can be made by cash, cheque or bank transfer. Cheques to be made payable to “Apple Safety Services”. Or by bank transfer please use:
Sort Code: 09-01-28
Account: 51125449
Account Name: Apple Safety Services.

Signed (Name):


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