Training Order Form —The Health & Safety Group

Step 1 of 5 - Contact Details

Please provide your contact details and company address below.

First name *

Last name *

Email *

Phone number *

Company Name *

Address 1 *

Address 2

City

Postcode *

Step 2 of 5 - Your Training Course

Please select the course you wish to receive a quote for from the list below, choose your ideal training date and / or a date range that would also be acceptable for training.

Select your training course *

Date *(Ideal day for training to take place)

Date range *(Preferred date range for training to take place)(Dates would be acceptable to you)

Guide Price of In-house Training Course

Please complete and submit form for exact quote

Training Course Total	£ 0
PMVA Equipment Option	£ 0.00
VAT (20%)	£ 0.00
Total	£ 0.00
Max delegates	0

Step 3 of 5 - Training Location

Please specify the location where the training will take place.
If it is the same as the address listed in your contact details from Step 1, please check this box:

Company Name *

Address 1 *

Address 2

City

Postcode *

Step 4 of 5 - Training Facilities Provided

Please confirm that a training room is available and if so what training equipment will be provided on site.

Training room provided

Yes

No

Would you like us to provide a training room?

Yes

No

Please select any other equipment you may have from the below options

We would normally need a screen or white wall as an absolute minimum. Please select any other equipment you may have from the below options

Screen / White Wall

Whiteboard

Projector

Speakers

Other

Step 5 of 5 - Additional Information

Please provide us with any further details or additional notes you would like us to consider for your training quote request.

Mandatory And Statutory Courses

PMVA/ Breakaway Courses

Vaccination / Phlebotomy Courses

Safeguarding Courses

People Moving Courses

Manual Handling Courses

Other Healthcare Courses

First-aid / Fire Warden Courses

E-Learning Courses

Healthcare Certificate Register