Auxiliary Courses Credit Card Form

1
Personal Details - Full Name* This field is required.Full name of the person attending the course. Your name will be passed on to the suppliers of the course in order to appear on your course documentation.
First Name
Last Name
2
Email* This field is required.This will only be used for sending a confirmation email, updates about the course, and for reminders about similar future courses. You can unsubscribe from these emails at any time.
example@example.com
3
GDPR - Protecting your Personal Data* This field is required.
4
Subscribe to our Email ListI would like to subscribe to Leon Paul - Scotland's email list to hear about more events. You can unsubscribe to these emails at any time.
YESNO
5
My Products
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My Bag
Great Product Name
$20
Quantity:1
Size:Small
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Great Product Name
$20
Quantity:1
Size:Small
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Great Product Name
$20
Quantity:1
Size:Small
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Great Product Name
$20
Quantity:1
Size:Small
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ORDER SUMMARY
Total costGBP
First Aid Course
£30.00Edit
Back
29th March 2020
29th March 2020
Date
Armoury Course - SOLD OUT for 29th March
£25.00Edit
Back
Event Date TBC
Event Date TBC
Date
Coach Education (1 Day)
£30.00Edit
Back
4th May 2019
4th May 2019
11th May 2019
18th May 2019
25th May 2019
Date
Coach Education (4 Days)
£60.00Edit
Back
4th May 2019
4th May 2019
11th May 2019
18th May 2019
25th May 2019
Date
Enter Coupon
Total cost £0.00
Credit Card
First Name
Last Name
6
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