TGI Course Booking Form

Training Needs *

Special requirements (dietary or access needs) *

ALSGBI Membership number *

Payment information

Choose your preferred payment option: *

Bank transfer/ BACS Invoice to employer

Bank transfer details:
Please use your name as a reference
Bank: Lloyds PLC
Sort code: 30 93 92
Account number: 01886519
Payee: Northwick Park Institute for Medical Research

To request an invoice, please complete the follo wing:

Purchase order number *

Invoice Address *

Please select the following options in order for us to process this booking *

I have read and agree to the Griffin Institute booking conditions I consent to the Griffin Institute retaining my contact information for the purpose of communication regarding the course(s) that I will be attending

Please choose any of the follow options regarding future communication *

I consent to the Griffin Institute retaining my contact information for the purpose of communication regarding future courses that may be of interest to me I consent to the Griffin Institute retaining my contact information in order to send regular Newsletters or updates, which may include communication regarding fundraising for their charitable purposes

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Course Booking Form

Payment information