Please fill in this order form if you wish to purchase any training or other materials from Assistive Technology & Training Limited. It is very important that you supply as many contact details as possible in the fields provided so that our staff can find you and delivery of the items can occur swiftly. Once you have submitted the order form your data will be processed within 2 working days and you will receive a reply to email address supplied in “Order Confirmation Email” below. If you have not received such a reply please do not hesitate to contact us Client Details This is the person that requires the training. Client Title Mr. Mrs. Ms. Miss. Dr. Prof.Client First Name Client Last Name Job Role Delivery Address Street (Must be a workplace address) Delivery Address City Delivery Address Postal Code Office Number Mobile Number Email Address Manager Details I do not have a managerManager Title Mr. Mrs. Ms. Miss. Dr. Prof.Manager First Name Manager Last Name Manager Email Address Manager Office Number Manager Mobile Number Company Details Company Name Billing Street Billing City Billing Postal Code Billing Contact Number Billing Email Address Order Details A VAT rate of 20% is applied. Please select Half Day Technical Training for any training relating to software/equipment. Description Quantity Net Price Quoted Per Unit Bespoke Awareness Training 3(hrs)Coping Strategy Training Session (2hrs)Diagnostic AssessmentDiagnostic/Work Based AssessmentDisability Awareness Training (3hrs)Disability Impact Training 90 minutesDragon Naturally Speaking Professional (ATW) V15Half Day Coping Strategy Training Session (3hrs)Half Day Technical Training Session (3hrs)Half day Co-Coaching Training Session (3hrs)Mindview SoftwareOlympus DS-9500TextHelp Read & Write Gold V11.5Working WordsWorkplace Assessment If you can not find the product you were recommended then please type the product in the below field Description Quantity Net Price Quoted Per Unit Service Net Price Quoted Per Unit Net Total VAT Total Total Additional Information Purchase Order Please note if no purchase order is provided or if the net order value is below £700 then a “pro forma” invoice will be sent, and in this case only upon receipt of payment will training commence and items be delivered. I do not have a purchase orderUpload Purchase Order Purchase Order Number Order Confirmation Email Order Confirmation Email Data Protection Act 1998 The data collected on this form will only be used for the purpose of order administration at Assistive Technology & Training Limited and will not be disclosed to any external sources without your express written consent.Print Name Date Please confirm by ticking the box below that you have read and agree to the terms and conditions of Assistive Technology & Training Limited. You can view the policies by clicking this link: Assistive Technology & Training Limited Terms and Conditions. Please confirm by ticking the box below that you have read and agree with the GDPR policies of Assistive Technology & Training Limited. You can view the policies by clicking this link: Assistive Technology & Training Limited GDPR Policies. Send Prev Next Tweet