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INSPECTING CHILDREN'S PLAYGROUNDS

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Inspecting Children’s Playgrounds Training – Tues. 13 September 2005<br />

Number of delegates attending ………………<br />

Delegate details<br />

Please print in BLOCK CAPITALS<br />

1st Delegate First Name …………………………. Surname …………………….……<br />

Job Title ……………………………………………………………………………………….<br />

Organisation<br />

..……………………………………………………………………………….<br />

Address ……………………………………………………………………………………….<br />

…………………………………………………………………………………………………..<br />

……………………………………………………………... Post Code ……………………<br />

Tel …………………………………………………………. E-Mail ..………………………..<br />

2nd Delegate First Name …………………………. Surname ………….……………..<br />

Job Title .……………………………………………………………………………………….<br />

Organisation ………………………………………………………………………………….<br />

Address ……………………………………………………………………………………….<br />

………………………………………………………………………………………………….<br />

……………………………………………………………... Post Code …………………….<br />

Tel …………………………………………………………. E-Mail ..………………………..<br />

If you have any physical or special dietary requirements, please state:<br />

…………………………………………………………………………………………………..<br />

Payment Details:<br />

Payment with order<br />

I enclose a cheque payable to Child Accident Prevention Trust for £ …………………..<br />

Payment by invoice<br />

Please forward an invoice for £ ……………<br />

Official order number…………………….<br />

Invoice address, if different from above ……………………………………………….…..<br />

…………………………………………………………………………………………………..<br />

…………………………………………………………<br />

Post Code ……………………….<br />

VAT No. 740387826<br />

Terms and Conditions of Cancellation<br />

Cancellations must be in writing and the following charges apply:<br />

• more than three weeks prior to the event £25.00 admin. fee.<br />

• less than three weeks prior to the event 50% of the fee.<br />

• three clear working days or less prior to the event 100% of the fee.<br />

Please return this form to<br />

Child Accident Prevention Trust, 22-26 Farringdon Lane, London EC1R 3AJ

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