Application Form: Effective Listening | Redlands Counselling and Training

Effective Listening Skills

Fee: £55

Thank you for your interest in applying for our Effective Listening Skills course. Please complete the form below so that we able to process your application.

Personal Details

Title
MrMrsMissother

First Name

Email

Surname

Mobile Number

Date of Birth

Gender

Address

Please let us know if you change your address.

Payment

I wish to book my place on this course and will arrange for payment of £55 course fee, to confirm my place on the course, by one month before the course start date to the following account details:

Bank: Lloyds Bank plc
Account name: Redlands
Sort code: 30-91-08
Account number: 02459413

I understand that this fee is non-refundable except in the event of the course being cancelled in which case the fee will be returned to me.

Signed

Date

Declaration: By submitting this form, I confirm that the information given in this form and personal statement is true, complete and accurate. No information requested or other material information has been omitted. Under the terms of the Data Protection Act 1988 the personal information supplied by you will be treated in confidence but used internally for registering and statistical purposes. You may from time to time receive additional information or questionnaires.

If you require further details of how your information is processed and shared, please contact us.