Achievement Specialists Ltd - Course Booking Form
Please Print this form and fill in the relevant details

Your Details:

Title:

First Name:

Surname:

Date of Birth:

Your Address & Contact Details:

Address line 1:

Tel (Home):

Address line 2:

Tel (work):

Town/City:

Post Code:

Email:

County:

Tell us which course you wish to enrol on :

Course:

Date:

Alternative:

Curriculum Vitae Enclosed

(Diploma Course Applicants only )

Yes No

Please tell us how you heard about the event or about ACHIEVEMENT SPECIALISTS LTD?:

I hereby make application to Achievement Specialists Ltd for the above training event and I enclose payment in the form of a cheque/postal order to the value of: £
(NB: Do not staple cheque or postal order to this form.)

Credit card payment is available by calling the office and is subject to a 3% administration charge.

I understand that I have a 7 day cooling off period for a full refund and this excludes orders for CDs and DVDs, which starts on, and includes the date on which this booking form was signed. I acknowledge that I have read and agree to abide by the terms and conditions and the code of conduct for Life Coaches displayed on the www.achievementspecialists.co.uk web-site. I understand that my details will be held on a database for future mailings and I am happy for any comments I make about the event to be used for promotion of future events should Achievement Specialists Ltd choose to do so.

Please send this completed form together with the appropriate payment to:

Achievement Specialists Limited
Achievement House
100 Southwick Road
Bournemouth
Dorset BH6 5PU

Achievement Specialists Ltd :Registered in England: No:4978443: Registered office: Achievement House, 100 Southwick Rd, Bournemouth, BH6 5PU