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Emp booking form [1987636]

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Emp booking form [1987636]

  1. 1. BOOKING FORM TUESDAY 21st JUNE, PENTREBACH HOUSE, MERTHYR TYDFIL, CF48 4BD. 9:30am-4:30pm Thank youfor expressinganinterestin“Practical ToolsforEmpoweringPeople:An assets-based approach”. Inorder to confirmyourplace,please complete andreturnthisformto paulstepczak@yahoo.co.uk. Name: Job Title: Organisation: Email: Telephone number: Company Address: Please provide averybrief descriptionof yourrole’sday today activities(thisisinorderthatthe trainingcan be made relevanttothe audience): Please state where youheardaboutthistraining: At thistraining,coffee andteawill be availablethroughoutthe dayandlunchwill be provided. Please canyouplace an “x” nextto one of the followingtochoose yourlunchinadvance:- Main Sausage and Mash [ ] Spinachand RicottaLasagne (v) [ ] GammonSteak [ ] ChickenBurger [ ] Beef Lasagne [ ] PaprikaChicken [ ] Beef Chilli ConCarne [ ] Gammon,ChickenandPeaPie [ ] Ham, Egg and Chips [ ] VegetableLinguine [ ] Fishand Chips[ ] ClassicBeef Burger [ ] Sandwiches Ham and Cheese Toastie [ ] Egg Mayonnaise Sandwich(v) [ ] SmokedSalmonSandwich [ ] GrilledBrie andBacon Sandwich[ ] Prawnand Marie Rose Sandwich [ ] ChickenandBacon Sandwich[ ] Jacket Potatoes ChickenandBacon [ ] Prawnsand Marie Rose Sauce [ ] Beef Chilli ConCarne [ ] Mozzarella,CheddarCheeseandBankedBeans(v) [ ] Food responsibilitieslie withPentrebach House Table Table andnot withthe trainingprovider.
  2. 2. Cancellation If you needtocancel,thenthiswill needtobe made inwritingto paulstepczak@yahoo.co.uk before 4pm on FRIDAY17th JUNE. Anycancellationsornon-attendance afterthistime willstill be charged at £50 perperson. Payment The cost of thiscourse is £50 per person. One bookingformisneededperperson. Invoiceswill be distributeddirectlyafterthe trainingandwill requestpaymentwithin15days. Please provide acontactname and addressbelow,alongwithanemail addressand atelephone number. Name: Job Title: Organisation: Email: Telephone number: Company Address: Alternatively,paymentsincashor cheque (made payable to “Paul Stepczak”),canbe receivedonthe day. If you wishtopay viathismethod,please tickhere [ ]. Location By Car: Just off A470 Bike ParkWalesJunctioninMerthyrTydfil. Ample (free) parking By Train: DirectlyoppositePentrebachStation(100yards walk) By Bus: X4 stopsat HooverFactory, (50 yards walk) Otherthan that,I lookforwardto seeingyouonthe day! KindRegards Paul Stepczak paulstepczak@yahoo.co.uk

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