Regional Direct Debit Training: Booking Form

Please complete all fields and click ‘Send’ once done

I agree to the Clear Direct Debit Terms & Conditions (see link on page footer). I understand that Clear Direct Debit will store my data for the purpose of processing this booking and will require cleared funds 14 days prior to the training date. Please tick:

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