Training Booking Form (Our Venue)

MEDIATOR TRAINING BOOKING

We're thrilled you'll be joining us on one of our mediator training programmes!

Please complete the details below and we will send you an invoice for a 25% deposit to secure your place. The remaining balance will be invoiced separately and will be due four weeks before the date of the training. Where the booking is made six weeks or less before the training the full balance will be invoiced.

Name

First NameLast Name

Email

Please check this is correct as it will be used in future communications

Mobile Number

Please check this is correct as it will be used in future communications

Which training would you like to book?

If you want to split the 5-day training but don't yet know when you want to 'top up' please choose the 3-day option at this stage

Please select your 3-day Internal Mediator dates

Please note all of the above dates are in Nottingham

Please select your 2-day Accredited 'Top Up' dates

Please note all of the above dates are in Nottingham

Please select your 5-day Accredited External Mediator dates

Please note all of the above dates are in Nottingham

Would you like us to add you to waiting lists for earlier courses should a place become available?

Please check the website for 'sold out' dates. If you only want to be on specific waiting lists please let us know in the comments at the end

Do you have any food allergies or dietary requirements?

Please provide details of food allergies or dietary requirements

Are there any adjustments you require for the training?

Please provide details of adjustments required

Who is paying for the training?

Who should we send the invoice to?

Company Name

Name of the person we should send the invoice to

Email address of the person we should send the invoice to

Address (for invoice)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Before submitting this form, please could you confirm that you definitely want to book the place you've entered above

The reason we ask this is sometimes people send the form to book and then say it was just an enquiry.

Do you want to book anybody else onto this same course?

Please enter details of additional delegates

If there's anything else we need to know just let us know here

By submitting this form you agree that Pragmatism (UK) Ltd can retain your data and send you information relevant to mediation and workplace disputes.