In House Booking Form

1: Course
2: Company
3: Course Contact
4: Materials Shipping
5: Tutor Accommodation
6: Confirm

Fields marked with an asterisk (*) are required

Course Title *

Date of Course *

No. Of People Attending *

Organisation Name *

Address 1*

Address 2*

Address 3

City/ Town*

Eircode/ Postcode *

Telephone No. *

Email Address *

Position

PO Number (if required on invoice)

Accounts Contact

Accounts Email

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Person who approves the content with the Tutor?

Email Address

Telephone No.

Required Course Times (please amend if required)

Position/ Level of people attending?

Department(s) of people attending?

Training Venue

We will courier hardcopy course notes to you in advance of the training. Please provide us with details for where these notes should be delivered and who should receive them.

Materials Contact Name *

Full Shipping Address *

Telephone Number *

Email Address *

Healthcare Companies

Our standard SQT pen contains black ink. IF YOU REQUIRE BLUE tick here

For your convenience, SQT will organise Tutor accommodation. We would ask if you could recommend a local hotel if you have preferable rates:

Hotel Name

How did you hear about this course?

I have read and accepted the Terms and Conditions. * View Terms and Conditions

I certify that the information given on this application form and the supporting documentation (if applicable) is true and accurate to the best of my knowledge. I also agree to the processing of this data for the purposes of applying for this course. View our privacy statement here *

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