Training/Development booking form

  Payment method:  
  Course required:  
  Date / Location:  
  Delegate's title:
(Dr / Mr / Mrs / Ms ...)		  
  Delegate's full name:
(for certificate puposes)		  
  Please indicate:
GK Pub Partners Existing Licensee
GK Pub Partners New Licensee (awaiting change)
Staff of GK Pub Partners Licensee
Other
 
  Name of pub:  
  Pub Location:  
  Contact address:

 
  Town:  
  County:  
  PostCode:  
  E-mail address:  
  Telephone:  
  Dietary Requirements:  
  Learning Support:  
  Important booking information: Places will be allocated on receipt of booking form - early booking is advisable. Confirmation will be sent to you prior to the course.  
  Fees: + VAT =  
  Cancellation fee: 7 days or less notice - full course fee