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TAC Booking Form - Couples Counselling Certificate
Dates: TBC
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Email
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Your email
Name
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Address
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Contact Number
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Your answer
Name and contact number for next of kin (please confirm with them that they are happy to have their details shared with me):
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Health conditions/mental health issues/medication that might affect your training experience:
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Why you are interested in attending this course and what you hope to get out of it?
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Please state your current qualification in Counselling and Psychotherapy
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I would like to book a place on the Certificate in Couples Counselling at a cost of £495
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I will pay a non-refundable deposit of £100 to reserve my place (BACS details at end of form)
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Your place is held once the monies have gone through or been received. Full Payment due two weeks before the start of the course.
I confirm I have read and agree to the Contract Terms and Conditions
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Upon receipt of payment further details and directions will follow.
BACs details
Account Name: Transactional Analysis Cymru Ltd
Sort Code: 30-98-97
Account Number: 86915568
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