Supporting Consumers in the Water and Energy Sectors

TO BOOK A PLACE ON THIS E-LEARNING MODULE, PLEASE COMPLETE THE FOLLOWING FIELDS.

PLEASE NOTE: Once you complete the booking form and select submit you should see a confirmation note on screen. If not and instead 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) and your e-mail address is correct then submit again.

1) PROPOSED START DATE

Date*
PLEASE NOTE - this course is self-led so there are no set dates to attend (this is just an indication of when you would like your learning to begin. It can take up to 5 working days for login details to be sent).

2) BOOKING CONTACT

First name*

Surname*

Organisation*

Organisation sector (please select the most relevant sector or select other)*

Email*
Enter Email Confirm Email

Telephone*

Region (in which nation/ region is your organisation based - this should be your local office)*

3) LEARNER DETAILS

Please list all learners*
Click '+' to add additional names.

Location details are requested to help us monitor the reach of learning across the country. Personal details will not be shared with others.
Name E-mail County Postcode

What are the main services your organisation provides to households at risk/or in fuel poverty*

4) FEES

Fee Rate - please select*

Not for profit - £75 + VAT

Commercial - £90 + VAT

5) INVOICE DETAILS

The details provided in this section will be used to issue an invoice. Please provide the relevant finance / accounts payable contact details and if needed, a purchase order number to ensure prompt payment.

Organisation name*

Postal address and postcode*

Contact person*

Contact email*

Purchase order number (if required)*
If a purchase order number is not required, please enter 'N/A' below.

6) TERMS & CONDITIONS

Once in receipt of this completed booking form, NEA shall aim to provide the learner with login details to access the e-learning within 5 working days.

The learner must not disclose their login details to others.

The learner will have access to the course for four weeks.

The e-learning is copyright protected and must not be printed or copied.

Cancellations:
~ Any cancellations received after login details are sent will still be charged at the full rate as outlined above.
~ Notice of cancellation must be confirmed in an email.
~ These conditions will not apply if the course is postponed or cancelled by NEA.

AGREEMENT*
I agree to the above terms and conditions of booking

7) DATA PROTECTION

We collect and use your personal information to manage your booking and provide the services you've requested. To help us deliver the best possible support, we may share your information within our organisation. Your data will be handled securely and only accessed by authorised staff. We will never share your details with external third parties unless required by law. By submitting this form, you agree to the use of your data in line with current data protection legislation.

Our full privacy policy can be viewed at the following link – https://www.nea.org.uk/privacy-policy/

AGREEMENT*
I agree to the above 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

8) 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: If you return to the top of the course outline once you select submit, your booking is NOT complete and the form has not submitted properly. Please check that all relevant fields are complete (all fields marked with a * are mandatory) then submit again.

Once submitted, a confirmation note should appear on screen and you should receive a confirmation e-mail.