Course Registration Form

TO SECURE YOUR PLACE ON YOUR SELECTED COURSE, PLEASE COMPLETE THE FORM BELOW AND SEND A £200 DEPOSIT TO:

PALLORA Ltd
Sort code: 04-00-03
Account number: 20530973
Title: Course Name and Date

Cancellation Policy
We operate with the fully refundable 3 week cancellation policy, any participants who withdraw from the
course within this time will be eligible for the full deposit refund. After this timeline the deposit will no longer
be refundable.

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I hereby agree that this data will be stored and processed for the purpose of establishing contact for course enrolment. I am aware that I can revoke my consent at any time.*

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Thank you for enrolling on this course. Please ensure your deposit is send to secure you place on the course.
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Company Registration: 16106419

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