NORMIT Course Application Form

Course Details

Please select which Course you would like to attend

 

Your Details

Title

 

First Name*
Last Name*
Telephone
Mobile
Email Address*
Job Title
Organisation*
Address
Any Special Requirements, see below

Vegetarian      Accessibility

Vegan             Other (Please Specify)

NORMIT Member

Yes      No

Voluntary or Charity Organisation

Yes .... No
Emergency Planning Society Member Yes .... No
Business Continuity Institute Member Yes .... No

Payment Details

Please send invoice

 

Yes      No

Purchase Order Number
Invoice address if different to above (include contact Name)
Cheque to follow by post

 

Yes      No     

Please make cheque payable to Norfolk County Council and send to Emergency Planning Unit, County Hall, Martineau Lane, Norwich, NR1 2DH

Additional Comments

Lunch and refreshments will be provided. If you have any special requirements or needs to enable you to participate fully in this event, please let us know: eg physical access, hearing loop or dietary requirement.

 

 

Special Requirements


Please Note:

1.

Joining instructions will be issued 1 month before the event date. Cancellations prior to this date will not be subject to a charge.

2.
No refund will be made if cancelled within 1 month of the event. If you are unable to attend the course, please try to find a replacement and notify this office on 01603 222016
3.
Your details will be held by the Emergency Planning Unit in accordance with the Data Protection Act and information may be sent to you regarding future courses.
4.
We reserve the right to cancel courses as necessary.