Lion Training Passport Order Form liontrainingpassport.co.uk Members Details Please complete the Member Enrolment form and attach to this application. Members can be from your own organisation or Contracted suppliers. Invoice Address (if different to main address): How many passports would you like to purchase? PO Number: Organisation: Job Title: Contact Name: Address: Email Address: Contact Telephone Number: Organisation Details Billing Details Access to records The organisation whom you supply may request access to assist with assurance scheme compliance and to assist with the sourcing of training on your behalf. If they have requested this and you would like to authorise access, please complete the following: Access to records will only be provided if authorisation is provided by yourself. Subscriber Name: Signature Signature: Date:

Lion Training Passport Order Form

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mliontrainingpassport.co.uk

Members DetailsPlease complete the Member Enrolment form and attach to this application. Members can be from your own organisation or Contracted suppliers.

Invoice Address (if different to main address):

How many passports would you like to purchase? PO Number:

Organisation:

Job Title: Contact Name:

Address:

Email Address: Contact Telephone Number:

Organisation Details

Billing Details

Access to recordsThe organisation whom you supply may request access to assist with assurance scheme compliance and to assist with the sourcing of training on your behalf. If they have requested this and you would like to authorise access, please complete the following: Access to records will only be provided if authorisation is provided by yourself.

Subscriber Name:

SignatureSignature: Date:

Page 2: Lion Training Passport Order Form

Cost The cost of scheme membership is £20 per passport renewable on an annual basis.

Organisations are able to make bulk purchases and assign to registrations as required. Bulk purchases will benefit from a number of complimentary passports as follows:

200 + 20 Free Passports 100 10 Free Passports 50 5 Free Passports 10 1 Free Passport

VAT will be charged at the standard rate. The cost of registration does not include the cost of training delivery.

Payment Details

Once an order has been received, an invoice will be issued by Lantra for the full amount. Access to passports will only be released once payment has been received by Lantra. Payment terms are strictly 30 days.

The passport is renewable on a 12 monthly basis. Companies / individuals will be asked a month before the end of this term whether they would like to renew. If notification or payment is not received then access to these records will be suspended.

Completed forms should be returned to: Lion Training Passport, South Green Park, Mattishall, Dereham, Norfolk, NR20 3JY

or email [email protected]

Nominated Role - First AiderEach location is required to have a nominated first aider, please ensure that they are identified on the enclosed application form by ticking the relevant box

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Members Details - For each person to be registered on Lion Training Passport, please supply the following information:

Location Name LF/PR/PH Name D.O.B. Home Address Job Title/Role First Aider?

Organisation: Contact Name: Date:Organisation Details

Member Enrolment Form

Disclaimer - I confirm that the above information is shared with the scheme administrators with the permission of the individual.I understand that the all information will be processed and stored in accordance to the Data Protection policy of the scheme.Signature: Date: