BrQthru Courses and Training Booking Form Downloads Policies Biographies

Booking form

Please use the form below to book your course. Once we have received your booking form details we will email you an invoice so that you can make payment and secure your place.

* Full Name
School, Organisation or Individual
Address
Home Tel
Office Tel
Mobile Tel
* Email Address
Course Required
Date of Course
Method of Payment
Additional Info
* Required
 

Payment Details:

Cheque payment: Payable to 'BrQthru CIC Ltd' correspondence address: BrQthru CIC Ltd, 31 Wyatts Road, Chorleywood, Herts, WD3 5TB.
Internet payment: BrQthru CIC Ltd, Lloyds TSB, Rickmansworth, Sort Code: 30-84-86, Account No: 15142368.
Child Referral Form Adult Referral Form Booking Form Downloads Policies Biographies Links
BrQthru Counselling and Play Therapy is a trading name of BrQthru CIC Ltd, registered in England & Wales 7837540.
Registered Office; Pitax House, 33 Baldwins Lane, Croxley Green, Rickmansworth, Hertfordshire, WD3 3LS.