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Training & Consultancy Services - Capita Software and Managed ...

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<strong>Capita</strong> <strong>Consultancy</strong>/ Course Booking Form<br />

This Form should be completed by the Customer <strong>and</strong> returned to your Account Manager/ Project<br />

Manager. Please photocopy as required.<br />

Authority’s Name<br />

Authority’s Address<br />

Contact/ Customer’s Name<br />

Contact/ Customer’s Title<br />

Contact Telephone<br />

Purchase Order No (Where Applicable)<br />

For Courses held at <strong>Capita</strong>’s Offices, please indicate if lunch is to be provided Yes / No<br />

(Courses including lunch will be charged above st<strong>and</strong>ard rates; special dietary<br />

requirements should also be notified to <strong>Capita</strong>)<br />

Course<br />

Code<br />

Course Title Cost Start<br />

Date<br />

End<br />

Date<br />

Location Delegate Name(s)<br />

I have read the requirements outlined at the beginning of this document <strong>and</strong> can confirm that delegates<br />

meet the prerequisites as detailed within the Course Descriptions.<br />

Authorised Signatory<br />

Signed

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