Course Booking Form

Booking Details:

Course Title:

Course Date:

Number of Delegates:

Cost Per Delegate:

(Ex Vat)

Your Name/ Primary Contact Name
(If different from delegate):

Your Email:

Your Telephone Number:

Payment details please state the method of payment:

Invoice us

Debit Card

Credit Card (I have read contintuity shop's terms.)

If you select Credit Card or debit card, a member of the Continuity Shop team will phone you to take payment details.

Invoice/ Reciept to be marked for the attention of:

Invoice To / Send Reciept to:

(Please enter organisation & address)

Purchase Order Number (If applicable) :

I confirm that I accept Contintuity Shop's terms.

Delegate Details:

Delegate Name:

Delegate Telephone:

Delegate Email:

Cotswold Courses Only

Tick if you require accommodation the night before the course, (Cost £85+VAT)

Tick if you require both dinner and accommodation on the night before the course (Cost £105+VAT) (Dinner is served until 8pm)

Second Delegate Name:

Delegate Telephone:

Delegate Email:

Cotswold Courses Only

Tick if you require accommodation the night before the course, (Cost £85+VAT)

Tick if you require both dinner and accommodation on the night before the course (Cost £105+VAT) (Dinner is served until 8pm)

Third Delegate Name:

Delegate Telephone:

Delegate Email:

Cotswold Courses Only

Tick if you require accommodation the night before the course, (Cost £85+VAT)

Tick if you require both dinner and accommodation on the night before the course (Cost £105+VAT) (Dinner is served until 8pm)

Any Special Requirements or additional information:

Continuity Shop. Innovation Forum, Salford University Business Park, Salford, M6 6FP : +44 (0).161.743.3555 E: info@continuityshop.com