Online Direct Debit Training: Booking Form

Please complete all fields and click ‘Send’ once done.

Please tick: I agree to the Clear Direct Debit Terms & Conditions ( 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.


Your Name

Job Title

Company Name

Company Address

Post Code

Phone Number

Email Address

E mail address for invoicesPurchase Order Number (If Applicable)

How did you hear about us?

Please select your course requirements

Please add up to 3 preferred dates and times for your course (We will do our best to deliver training within one of these timeslots)

Please indicate the number of delegates

Additional Comments / Codes

When you book a training course you will receive an acknowledgement of your booking by email. You will then be contacted by our Training Manager to arrange the course details with you.