Booking Form





About You

* Indicates required field.

Full Name *

Email Address *

Course Title *

Course Date *

Date Of Birth *

You must be over the age of 18

Mobile Number *

Contact/Postal Address

Medical Conditions, Allergies Or Significant Injuries *

Please provide relevant information

Relevant Qualifications And/Or Experience Pertaining To Your Chosen Course

What Are You Looking To Get Out Of This Course?

Emergency Contact Details

Full name *

Address *

Contact Telephone Number *

Payment

ChequeInvoiceInvoice DepositInvoice Employer

Cheque - Made payable to: Lloyd Langford Expedition Training Ltd

Invoice - Please provide an email or billing address and details below

Invoice Deposit - Please provide an email or billing address and details below

Invoice Employer - Please provide an email or billing address and details below

If you are booking within 5 weeks prior to your courses commencing date you are required to pay the full course fees within 10 working days.

If your chosen course exceeds £120 in total, a deposit may be paid alongside your booking at £60. The remaining balance for your course must be paid 6 weeks prior to
it's starting date, an invoice for any outstanding payments will be sent to the address of your choosing 8 days prior.

Should we receive no scheduled payments or notice of nil payments within 10 working days, your space may be forfeit at At Lloyd Langford Expedition Training Ltd's discretion and your deposit will be non refundable as to the Terms and Conditions.

Additional Information

Other

Please Indicate How You Found Out About Lloyd Langford Expedition Training *

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Declaration

I declare I am physical fit and able to participate in the course
I have read and agree to the Terms and Conditions.