Regional Direct Debit Training: Booking Form

Please complete all fields and click ‘Send’ once done

I agree to the terms and conditions and understand that Clear Direct Debit will require cleared funds 2 days prior to the training date

Your Name


Job Title

Delegate Name(s) (Please separate by commas if multiple delegates)

Company Name

Company Address

Post Code

Phone Number

Email Address

Email address for Invoices
Purchase Order Number (If Applicable)

How did you hear about us?

When you book a training course you will receive an acknowledgement of your booking by email along with further details about the day and your invoice for the training.

Please select your course date:

Please indicate the number of delegates (Course Places are charged at £475+VAT per delegate)

Additional Comments / Codes