Driver Training Provisional Course Booking Form

To reserve a place on a course please complete the form below. PLEASE NOTE: THIS BOOKING IS PROVISIONAL ONLY, AND DOES NOT GUARANTEE A PLACE ON THIS COURSE. This provisional booking must be confirmed to us in writing (including a purchase order number) within 10 working days by post or fax to: Training & Consultancy , RoSPA House, Edgbaston Park, 353 Bristol Road, Birmingham B5 7ST (Fax: 0121 248 2050). A member of the RoSPA Driver & Fleet Solutions team will then contact you to confirm your booking and preferred method of payment.

Alternatively to reserve a place on a course please download the Booking Form in PDF format 64kb, print it, complete it and fax it to 0121 248 2050.

Terms and Conditions

Booking Contact:

Title:
*Name:**
Position held :
Membership number (if applicable):
(This MUST be quoted here to qualify for the reduced members' rate and must be held at the invoice address.)

Invoice Address:

*Company/Organisation:**
Address:
*Post Code:**
*Telephone:**
Fax:
*Email:**

Venue/Delivery Address:
IMPORTANT IF COURSE NOT BEING HELD AT A RoSPA VENUE

Contact Name:
Telephone:
Address:
*Post Code:**

Course / Service Details:

Services: (Training course name or consultancy service plus proposal no.) PLEASE STATE TYPE OF VEHICLE IF APPLICABLE
Course Date:
No. of Delegates :
Delegate Names:

DATA PROTECTION
By completing this form you consent to us disclosing details about you to carefully selected third parties whose products or services we believe may be of interest to you. If you do not wish us to disclose your details in this way please tick this box.

Confirm your booking within 7 days
After submitting this form, please confirm your booking to us in writing (including a purchase order number) within 10 working days by post or fax to: Training & Consultancy , RoSPA House, Edgbaston Park, 353 Bristol Road, Birmingham B5 7ST (Fax: 0121 248 2050). A member of the RoSPA Driver & Fleet Solutions team will then contact you to confirm your booking and preferred method of payment.

Please check ALL details before submitting this form. (*mandatory fields)

Terms and Conditions

RoSPA is a registered charity: Registered Charity No: 207823
Patron: Her Majesty the Queen

RoSPA Head Office: Edgbaston Park, 353 Bristol Road, Edgbaston, Birmingham B5 7ST, UK
Telephone: 0121 248 2000 Fax: 0121 248 2001 Email: help@rospa.com