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The Surveillance Group
1 & 2 Fields Yard | Plough Lane Hereford | HR4 0EL | United Kingdom
T. 01432-276100/371754
F. 01432-371755
E.
info@thesurveillancegroup.com
The course Booking Form
Click here
to download PDF booking form.
Please note that your completion and submission of this booking form is taken as acceptance of our Terms and Conditions at the bottom of this page.
If you do not have an individual email account, please contact the centre on
01432 371754.
Required information *
COURSE DETAILS
Course Title: *
Please select...
-- Surveillance Training --
Foundation in Surveillance Techniques
BTEC in Advanced Surveillance
Urban CROPS
-- Medical Training --
First Person on Scene Basic
First Person on Scene Intermediate
First Aid Rural Medicine
Mechanism of Injury Level 3
Mechanism of Injury workshop
Subliminal Medicine
Medical Audits
Date Preference: *
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
2008
2009
Course Venue: *
Please select...
Hereford
Silverstone
Your Location
DELEGATE DETAILS
Title:
First Name: *
Surname: *
Position held:
Individual Email:
Purchase order number:
(if applicable)
Special requirements:
COMPANY / PERSONAL DETAILS
Company or Personal:
Address:
Email: *
Telephone:
*
(no spaces)
Fax:
HOW DID YOU FIND OUT ABOUT THIS COURSE?
Please select...
Publication / Newsletter
Told by Colleague
Told by other training provider
Visit by TSG Staff
Told by Career Adviser
Website – www.thesurveillancegroup.com
Broadcast
Email
Employer / Personal Development Portfolio
Meeting:
(please specify)
Other:
(please specify)
FINANICAL DETAILS
Amount payment £200 deposit required once place is allocated on chosen course.
For the BTEC in Advanced Surveillance course only - a deposit of £399.50 is required.
Please tick your payment method.
Credit Card :
Cheque:
Other:
(please specify)
PAY BY PHONE
In order to process your payment for this event, please supply us with your billing details.
Billing Name:
Telephone Number:
PAY BY CHEQUE
Please make all cheques payable to '
The Surveillance Group
'
Sent to -
The Surveillance Group
1 & 2 Fields Yard
Plough Lane
Hereford
HR4 0EL
Terms and Conditions
1. After confirmation of application, full payment should be received no later than 21 days before the start of the course.
2. Please visit
www.thesurveillancegroup.com
for full details of our terms and conditions.
3. Do you want the data contained within this document to be used to keep you informed of TSG activities?
Yes
No
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