Opportunity Through Development

Credit Card Payments and Fast Booking call on 01858 880739 then Right Click Mouse to print form & fax back

Each delegate needs to complete a separate form form for course badges and personalised materials.

To Distribute PDF version  click here

FAX BACK OR POSTAL BOOKING FORM (Block letters please) 

Course Title __________________Course Date________Venue______________________

Delegate details

Title (Mr/Mrs/Miss/Other)_________

First name____________________Job title______________________________

Surname ____________________Company name_________________________

Address 1________________________ Address 2_________________________

City_____________________________County_____________________Postcode____________

Daytime tel.__________________Evening Mobile___________________

Fax________________________Email___________________________ 

Method of payment (Please tick the appropriate box)

 Cheque enclosed for £__________ (+ VAT)

 Cheque enclosed for £__________ (+ VAT less 7%) bookings made 8 weeks + in advance

 Invoice my organisation. (Advise any purchase order ref needed on invoice). 

Please make cheques payable to:  eXsell Training Limited 

Send invoice and VAT receipt (if not to the delegate) to:

Title (Mr/Mrs/Miss/Other)____

First Name__________________Surname_____________________

Job Title_________________________

Company Address1_________________________Company Address2______________________

City/Town_____________________County_______________________Post code____________

I have read and agree to the booking conditions for this course including cancellation terms.

Signature _____________________________________Date_____________

Please fax or, if sending a cheque, post your completed application form to:

eXsell Training Limited

3 Fernie Court

Husbands Bosworth

Lutterworth

Leicestershire.  LE17 6LW

fax: 01858 880974

tel: 01858 880739

email: bookings@exsell.co.uk 

Data Protection Act 1998

By sending this information to us you consent to eXsell Training Limited recording your data for the purposes of administration and for sales records. We hope you will be interested to receive information from us about future similar services. Only carefully selected and appropriate information will be sent. If you do not wish to receive further information from us, please tick this box