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 (https://cleardirectdebit.co.uk/training-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.