Booking Form

AlphaBall

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Welcome

Tel:

Fax:

0844 33 505 87

0207 806 8355

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Online Booking Form

To book onto your chosen course, please complete the booking form below and click on the send button once completed.

Submitting this online booking form is also confirming that you have read the Terms and Conditions of our booking process and agreed with them. Terms and Conditions can be read now by clicking here.

PLEASE TAKE CARE NOT TO PRESS THE ENTER KEY WHILE COMPLETING THE FORM AS THIS WILL SUBMIT AN INCOMPLETE BOOKING.

Title

First Name:

Last Name:

Staff No

Job Title

Organisation

Division

Grade

Zone

Address Line 1:

Address Line 2:

City:

County:

Post Code:

Phone Number:

Mobile Phone Number (for emergencies):

Email Address

First Course Title

Preferred Date:

Alternative Date:

Course Cost:

Purchase Order Number:

Second Course Title:

Preferred Date:

Alternative Date:

Course Cost:

Purchase Order Number:

Dietary or Particular Requirements:

Line Manager:

Line Manager Email:

Other Comments:

Offer Code:

I would like to receive Alpha's monthly special offers (data is only used for Alpha offers and is not passed on to other organisations). Special Offers?