01256 476981     contact@raise.org.uk

Raise Mental Health
mental health, hope and recovery through training

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We are proud to be 100% service led

Course Booking Form

You can send us your booking request either by downloading a booking form in Word format and then either posting it or emailing it back to us, or else you can complete and submit the form below.

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Please fill in and submit the form below.

Delegate Name
Course Title
Course Date
-- dd/mm/yy
Contact Telephone
E-mail address
Organisation
Address
 
 
Post code
Invoice Address
(if appropriate)
Under what capacity are you enrolling on this course?
Worker in the statutory & non-statutory sectors
Workers in the voluntary sector
Service users and carers
Lunch required?
Yes    No      at £9.50 incl VAT per delegate *
Special Requirements - for example dietary, hearing/visual impairment or support needs

You must confirm that you have read and accept our Cancellation Policy.
    I agree      I do not agree

* Please note that lunches are not available for half-day courses

 

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Registered in England 05170384
Registered Office: 35-41 Essex Road, Basingstoke RG21 7TB