Brief Strategic Therapy 2006
Diploma Course – Booking Form
All courses are held at the London School of Hygiene & Medicine in
Central London
BST Foundation: 5 Kingholme House, 106 Ridgway, Wimbledon, London, SW19 4RD.
Tel: 020 8946 1432                                                                                    Vat No 809 6103 36
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Title          Name                                        Surname

Address ____________________________________________________________
___________________________________________________________________
___________________________________________________________________
Postal Code   ______________ Email ____________________________________
Telephone: Home No                                   Work No
Date of Birth
Occupation __________________________________________________________
Relevant Qualifications _________________________________________________
Where did you hear about the Foundation___________________________________
Course Dates and Fees:
  • Course Fee £750.00 Plus VAT Total Course Fee £880.00
  • Flexible payment plan: Deposit Payment £220 plus 3 x £220 payable by post-dated cheque for
  • 14th Oct/2nd Dec/13th Jan 2007.
Saturday - 14th October 2006 Saturday -13th January 2007
Saturday - 18th November 2006 Saturday -3rd February 2007
Saturday - 2nd December 2006 Saturday -3rd March 2007
(optional afternoon sssessment)
Terms and Conditions
  • Course fees will only be refunded if written notice is received by the BST Foundation seven days prior to course commencement date. This will be at the discretion of the BST Foundation.
  • In the event that candidates do not meet the BST Foundation selection criteria deposits will be refunded.
  • All course fees must be paid prior to course commencement date.
  • The BST Foundation reserves the right to amend course dates & location
  • Course material is subject to copyright.
  • Failure to comply with the standards & practices lay down by the BST Foundation may result in exclusion from the course.
    These conditions do not affect your statutory rights.
I have read and agree to the above terms and conditions

Signed ____________________________________Date_________________

( External assessment fee £50 not incl vat payable at the end of the course).

I hereby enclose a deposit of £220 or/ I enclose the full course fee of £880 for registration onto the above course. Please make cheques payable to the (BST Foundation) and return with the completed booking form to the BST Foundation, 5 Kingholme House, 106 Ridgway, Wimbledon, London, SW19 4RD.

Amount paid £__________ Cheque No______________ Dated_______________