To Reserve

Your Place

Simply complete the following section and

return by fax or post. Alternatively book

online at www.thecoversupervisor.co.uk

- Fax to 012 44 344298 -

Please complete in CAPITALS

Course Date:___________________________

Venue/Town:___________________________

Preferred Forename:_____________________

Surname: _____________________________

Post Held:_____________________________

School:_________________________________

Address:______________________________

______________________________________

Post Code:_____________________________

Email: ________________________________

Phone:________________________________

Fax:__________________________________

Special Dietary/Access Requirements ______

______________________________________

Course Fee

£155+VAT for applications received no later

than two school weeks before the course date

or £165 thereafter. Most schools reclaim VAT.

Authorisation

To be completed by the person responsible for

authorising the payment of the invoice e.g. the

school staff development co-ordinator.

Name:________________________________

Position: ______________________________

Signature:_____________________________

Date:_________________________________

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