National Conference Booking Form

Sixth Form Leadership Conference - Code 9061

Date *Enter an available date for this course

Please enter your chosen date that this course is running on

Number of places *

Main Delegate Name *

Main Delegate Mobile Number *

Main Delegate Email Address *

Additional Delegates

Delegate Name

Delegate Email

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School Details

School Name *

School Address

Postcode *

Telephone *

Other Details

Workshop Options e.g. 1A, 2B, 3C

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Discount code

If you have a discount code, please quote it here.

Payment Options *

Amount *

Credit Card *

Purchase Order Number (Optional)

Some school finance departments require a purchase order number. Please enter a purchase order number here if this applies to your school. Note: Please do not use this form if you wish to pay for your course personally. In such cases please call us on 01625 532974 to make a payment and book your place.

Date