Relate
Middx HA1 2XH
Tel: 020 8427 2801 / 8863 4543
Email: Relate_training@yahoo.co.uk
COURSE REGISTRATION
Name: _____________________________ email:
_____________________________
Address:___________________________________________________________________
__________________________________________________________________________
Postcode _______________________Tel:
______________________________
I
wish to register for the following course:
Course title:
___________________________________________
Start Date _____________________ Time: ____________________
Location:
_______________________________________________________
Please reserve a place for me on
this course
I enclose my cheque made payable to Relate
for £ ____
OR
Please charge my visa /Mastercard/JCB/Switch
the sum of £ ____
Name of account holder
_______________________ card no._______________________
Expiry date
______________ Three Digit Security
No. ___________
Issue no. ( Switch)________________
Signed: ________________________________ Date __________________
Once your registration form has been
received a place will be reserved for you on the course and joining
instructions will be sent to you at the address above.
In the event of a course being cancelled
Relate will notify participants directly not less than one week prior to the
beginning of the course.
Please return this form to: Relate Training &
Education,