Rural Skills course booking form

1 Start 2 Course information 3 Complete

Personal / company details

Title

Forename (these details are required of the candidate/delegate attending the course/s) *

Surname (these details are required of the candidate/delegate attending the course/s) *

Company name

Phone number *

Mobile number (these details are required of the candidate/delegate attending the course/s)

Work phone

Email address (these details are required of the candidate/delegate attending the course/s) *

Date of birth (these details are required of the candidate/delegate attending the course/s) *

Day

Month

Year

Home address

Street address 1 (these details are required of the candidate/delegate attending) *

Street address 2

Town/City *

County

Postcode *

Country *

Are you a RAU Student? *

Would you like to use the bursary for this course? *

The Bursary is only available to those who have not used it before and it can be used on courses which are taught at the RIC.

Invoice address

Street address 1 *

Street address 2

Town/City *

County

Postcode *

Country *

Invoice address *

Is the address listed above also the invoice address?

Leave this field blank

CAPTCHA

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

What code is in the image? *

Enter the characters shown in the image.