Back E-LEARNING BOOKING FORM - Decarbonising Homes: Technologies, Impacts and Solutions (old form) This form is to book the Decarbonising Homes: Technologies, Impacts and Solutions e-learning modules only. Assessments for this course are are currently still under development and learners will be provided with further details on how to book an assessment (if they wish to do so) once finalised. PLEASE NOTE: Once you complete the booking form and select submit you should see a confirmation note on screen. If you return back to the top of the booking form your booking is not complete. Please check that all relevant fields are complete (all fields marked with a * are mandatory) then submit again. LEARNING START DATEWhen would you like to start the course?*PLEASE NOTE: it can take up to 5 working days to set up an e-learning account. DD slash MM slash YYYY MAIN BOOKING CONTACTMain contact person* First Last Organisation* Email* Enter Email Confirm Email Telephone*LEARNER DETAILSPlease list all learners*Click '+' to add additional namesNameE-mail MODULE SELECTIONPlease select all of the modules the learner would like to complete. Select All Biomass, CHP and Heat Networks Boilers, Heating Controls and Technologies Electric Heating Electricity Tariffs Heat Pumps Insulation Solar and Energy Storage Tacking Fuel Poor Homes through Decarbonisation FEES (per learner)Please select the relevant number of modules and fee rate from the list below. There is no charge for the introduction.NOT FOR PROFIT ORGANISATIONS (includes local authorities, housing associations etc) 1 MODULE - NEA Member - £70 plus VAT / Non-member - £80 plus VAT 2 MODULES - NEA Member - £140 plus VAT / Non-member - £160 plus VAT 3 MODULES - NEA Member - £200 plus VAT / Non-member - £228 plus VAT (block booking discount included) 4 MODULES - NEA Member - £266 plus VAT / Non-member - £304 plus VAT (block booking discount included) 5 MODULES - NEA Member - £333 plus VAT / Non-member - £380 plus VAT (block booking discount included) 6 MODULES - NEA Member - £399 plus VAT / Non-member - £456 plus VAT (block booking discount included) 7 MODULES - NEA Member - £466 plus VAT / Non-member - £532 plus VAT (block booking discount included) 8 MODULES - NEA Member - £532 plus VAT / Non-member - £608 plus VAT (block booking discount included) COMMERCIAL / PROFIT MAKING ORGANISATIONS 1 MODULE - NEA Member - £80 plus VAT / Non-NEA Member - £90 plus VAT 2 MODULES - NEA Member - £160 plus VAT / Non-member - £180 plus VAT 3 MODULES - NEA Member - £228 plus VAT / Non-member - £257 plus VAT (block booking discount included) 4 MODULES - NEA Member - £304 plus VAT / Non-member - £342 plus VAT (block booking discount included) 5 MODULES - NEA Member - £380 plus VAT / Non-member - £428 plus VAT (block booking discount included) 6 MODULES - NEA Member - £456 plus VAT / Non-member - £513 plus VAT (block booking discount included) 7 MODULES - NEA Member - £532 plus VAT / Non-member - £599 plus VAT (block booking discount included) 8 MODULES - NEA Member - £608 plus VAT / Non-member - £684 plus VAT (block booking discount included) NEA Membership Number (if applicable)If your organisation are members of NEA please provide the membership number below in order to receive the members discount. TERMS & CONDITIONS~ Once in receipt of this complete booking form, NEA will aim to provide login details by the proposed start date. ~ Access to the e-learning will be available for 2 weeks per module from the start date (i.e. 2 weeks for 1 module, 4 weeks for 2 modules and so on) ~ The learner must not disclose their log in details to others. ~ The e-learning and supporting handouts are copy right protected and must not be copied or shared with others. ~ Our fees shall be invoiced to you based on the above quotation and shall be payable by yourselves within two weeks of receipt of the invoice. ~ Once login details have been issued the course cannot be cancelled and the full course fee will be payable. ~ Both parties should treat the terms and conditions of this agreement (including the fees) as confidential. Agreement* I agree to the above terms and conditionsDATA PROTECTIONGeneral Data Protection Regulations*NEA collects personal information when you book on to a training event; this is used to provide the services requested; report to funders (if necessary); and to evaluate our services. We will not share your details with any other third parties. Our full privacy policy can be viewed at the following link - https://www.nea.org.uk/privacy-policy/ I agree to the privacy policy.Mailing lists*From time-to-time NEA may also send details of further projects / training events including free courses. Would you like to be included in these mailings? YES NO INVOICINGOrganisation name (to invoice)* Contact name (to invoice)* Contact e-mail (to invoice)* Invoice address* Street Address Address Line 2 City ZIP / Postal Code Purchase order number (if required) NOTESNotes (please include details of anything else we may need to know) CONFIRMATION If you have read and agreed to the above information please select the submit button below to complete your booking. PLEASE NOTE BEFORE SUBMITTING: Once you complete the booking form and select submit you should see a confirmation note on screen. If you return back to the top of the course outline your booking is NOT complete and has not been submitted. Please check that all relevant fields are complete (all fields marked with a * are mandatory) then submit again. Once submitted you should receive a confirmation e-mail.