newaccount.tal.training Open in urlscan Pro
185.75.215.47 Public Scan

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URL:
https://newaccount.tal.training/
Submission: On September 07 via automatic, source certstream-suspicious (September 7th 2021, 8:03:07 am UTC)

Form analysis
1 forms found in the DOM

<form novalidate="" lang="en">
  <div class="c-forms-form" tabindex="0">
    <div class="c-editor" style="display:none;"><input type="text" class="c-forms-form-style"></div>
    <div class="c-forms-form-body toggle-on" sys:attach="toggle" toggle:on="{ binding displayConfirmation, source = {{ Cognito.Forms.model }} }" toggle:action="hide">
      <div class="c-forms-heading">
        <div class="c-forms-logo" style="display:none;"></div>
        <div class="c-forms-form-title">
          <h2>Customer Details</h2>
          <div class="c-forms-description">Please enter your company details below to assist us in accurately creating or updating our internal systems. Please refer to our terms at: http://terms.tal.training/ for further information.</div>
        </div>
      </div>
      <div class="c-forms-template" sys:attach="dataview" dataview:data="{binding entry, source={{ Cognito.Forms.model }} }">
        <div class="c-forms-form-main c-span-24 c-sml-span-12">
          <fieldset class="c-yesno-radiobuttons c-field  c-col-1 c-sml-col-1 c-span-24 c-sml-span-12" data-field="AreYouAnExistingTrainaLiftCustomer">
            <legend class="c-label  ">Are you an existing Train-a-Lift customer? &nbsp; <span class="c-offscreen c-required-screenreaders">required</span> <span class="c-offscreen c-validation-screenreaders">, <span></span></span></legend>
            <div class="c-editor c-columns-0"><label class="c-yesno-radio" for="c-0-506"><input type="radio" name="group505" id="c-0-506"><span>Yes</span></label><label class="c-yesno-radio" for="c-0-507"><input type="radio" name="group505"
                  id="c-0-507" checked="checked"><span>No</span></label></div>
            <div class="c-validation" aria-hidden="true"></div>
          </fieldset>
          <div class="c-text-singleline c-field  c-col-1 c-sml-col-1 c-span-24 c-sml-span-12  c-required" data-field="CompanyLegalName">
            <div class="c-label  "><label id="c-1-504-label" for="c-1-504">Company Legal Name <span class="c-offscreen c-required-screenreaders">required</span> <span class="c-offscreen c-validation-screenreaders">, <span>Company Legal Name is
                    required.</span></span></label></div>
            <div class="c-editor"><input type="text" id="c-1-504" placeholder=""></div>
            <div class="c-validation" aria-hidden="true">Company Legal Name is required.</div>
            <div class="c-helptext c-html">
              <p><em>eg. Train-a-Lift Ltd</em></p>
            </div>
          </div>
          <div class="c-text-singleline c-field  c-col-1 c-sml-col-1 c-span-24 c-sml-span-12  c-required" data-field="TradingName">
            <div class="c-label  "><label id="c-2-503-label" for="c-2-503">Trading Name <span class="c-offscreen c-required-screenreaders">required</span> <span class="c-offscreen c-validation-screenreaders">, <span>Trading Name is
                    required.</span></span></label></div>
            <div class="c-editor"><input type="text" id="c-2-503" placeholder=""></div>
            <div class="c-validation" aria-hidden="true">Trading Name is required.</div>
            <div class="c-helptext c-html">
              <p><em>e.g. Train-a-Lift<br></em></p>
            </div>
          </div>
          <fieldset class="c-yesno-radiobuttons c-field  c-col-1 c-sml-col-1 c-span-12 c-sml-span-12" data-field="IsYourOrganisationALimitedCompanyLimitedOrLtd">
            <legend class="c-label  ">Is your organisation a limited company? (Limited or Ltd) <span class="c-offscreen c-required-screenreaders">required</span> <span class="c-offscreen c-validation-screenreaders">, <span></span></span></legend>
            <div class="c-editor c-columns-0"><label class="c-yesno-radio" for="c-3-501"><input type="radio" name="group500" id="c-3-501" checked="checked"><span>Yes</span></label><label class="c-yesno-radio" for="c-3-502"><input type="radio"
                  name="group500" id="c-3-502"><span>No</span></label></div>
            <div class="c-validation" aria-hidden="true"></div>
          </fieldset><span class="c-visible-container toggle-on">
            <div class="c-text-singleline c-field  c-col-13 c-sml-col-1 c-span-12 c-sml-span-12  c-required" data-field="CompanyRegNo">
              <div class="c-label  "><label id="c-4-499-label" for="c-4-499">Company Registration Number <span class="c-offscreen c-required-screenreaders">required</span> <span class="c-offscreen c-validation-screenreaders">, <span>Company
                      Registration Number is required.</span></span></label></div>
              <div class="c-editor"><input type="text" id="c-4-499" placeholder="" maxlength="8"></div>
              <div class="c-validation" aria-hidden="true">Company Registration Number is required.</div>
              <div class="c-helptext c-html">
                <p><em>Please enter the registration number that identifies your organisation at Companies House.</em></p>
              </div>
            </div>
          </span><span class="c-visible-container toggle-off" style="clear: left; display: none;">
            <div class="c-text-singleline c-field  c-col-1 c-sml-col-1 c-span-24 c-sml-span-12" data-field="CompanyType">
              <div class="c-label  "><label id="c-5-498-label" for="c-5-498">Company Type <span class="c-offscreen c-required-screenreaders">required</span> <span class="c-offscreen c-validation-screenreaders">, <span></span></span></label></div>
              <div class="c-editor"><input type="text" id="c-5-498" placeholder=""></div>
              <div class="c-validation" aria-hidden="true"></div>
              <div class="c-helptext c-html">
                <p><em>eg. LLP, Sole Trader, Partnership etc.</em></p>
              </div>
            </div>
          </span>
          <fieldset class="c-yesno-radiobuttons c-field  c-col-1 c-sml-col-1 c-span-12 c-sml-span-12" data-field="IsYourOrganisationVATRegistered">
            <legend class="c-label  ">Is your organisation VAT registered? <span class="c-offscreen c-required-screenreaders">required</span> <span class="c-offscreen c-validation-screenreaders">, <span></span></span></legend>
            <div class="c-editor c-columns-0"><label class="c-yesno-radio" for="c-6-496"><input type="radio" name="group495" id="c-6-496" checked="checked"><span>Yes</span></label><label class="c-yesno-radio" for="c-6-497"><input type="radio"
                  name="group495" id="c-6-497"><span>No</span></label></div>
            <div class="c-validation" aria-hidden="true"></div>
          </fieldset><span class="c-visible-container toggle-on">
            <div class="c-text-singleline c-field  c-col-13 c-sml-col-1 c-span-12 c-sml-span-12  c-required" data-field="VATNumber">
              <div class="c-label  "><label id="c-7-494-label" for="c-7-494">VAT Number <span class="c-offscreen c-required-screenreaders">required</span> <span class="c-offscreen c-validation-screenreaders">, <span>VAT Number is
                      required.</span></span></label></div>
              <div class="c-editor"><input type="text" id="c-7-494" placeholder="" maxlength="12"></div>
              <div class="c-validation" aria-hidden="true">VAT Number is required.</div>
              <div class="c-helptext c-html">
                <p><em>eg. GB999999973</em></p>
              </div>
            </div>
          </span>
          <div class="c-phone c-phone-international c-field  c-col-1 c-sml-col-1 c-span-12 c-sml-span-12  c-required" data-field="CompanySwitchboard">
            <div class="c-label  "><label id="c-8-493-label" for="c-8-493">Company Switchboard <span class="c-offscreen c-required-screenreaders">required</span> <span class="c-offscreen c-validation-screenreaders">, <span>Company Switchboard is
                    required.</span></span></label></div>
            <div class="c-editor c-editor-phone"><input type="text" id="c-8-493" placeholder="" autocomplete="tel" novalidate=""></div>
            <div class="c-validation" aria-hidden="true">Company Switchboard is required.</div>
          </div>
          <div class="c-email c-field  c-col-13 c-sml-col-1 c-span-12 c-sml-span-12" data-field="CompanyMainEmail">
            <div class="c-label  "><label id="c-9-492-label" for="c-9-492">Company Main Email <span class="c-offscreen c-required-screenreaders">required</span> <span class="c-offscreen c-validation-screenreaders">, <span></span></span></label></div>
            <div class="c-editor c-editor-email"><input type="text" id="c-9-492" placeholder="" autocomplete="email" novalidate=""></div>
            <div class="c-validation" aria-hidden="true"></div>
          </div>
          <fieldset class="c-name c-field  c-col-1 c-sml-col-1 c-span-24 c-sml-span-12  c-required" data-field="BookingContactName">
            <legend class="c-label ">Booking Contact Name <span class="c-offscreen c-required-screenreaders">required</span> <span class="c-offscreen c-validation-screenreaders">, <span>First and Last are required.</span></span></legend>
            <div>
              <div class="c-editor c-span-1" style="width: 20%; float: left;"><input type="text" id="c-10-491" placeholder="Title" title="Title"></div>
              <div class="c-editor c-span-1" style="width: 40%; float: left;"><input type="text" id="c-11-491" autocomplete="given-name" placeholder="First" title="First"></div>
              <div class="c-editor c-span-1" style="width: 40%; float: left;"><input type="text" id="c-12-491" autocomplete="family-name" placeholder="Last" title="Last"></div>
            </div>
            <div class="c-validation" aria-hidden="true">First and Last are required.</div>
          </fieldset>
          <div class="c-email c-field  c-col-1 c-sml-col-1 c-span-12 c-sml-span-12  c-required" data-field="BookingContactEmail">
            <div class="c-label  "><label id="c-14-490-label" for="c-14-490">Booking Contact Email <span class="c-offscreen c-required-screenreaders">required</span> <span class="c-offscreen c-validation-screenreaders">, <span>Booking Contact Email
                    is required.</span></span></label></div>
            <div class="c-editor c-editor-email"><input type="text" id="c-14-490" placeholder="" autocomplete="email" novalidate=""></div>
            <div class="c-validation" aria-hidden="true">Booking Contact Email is required.</div>
          </div>
          <div class="c-phone c-phone-international c-field  c-col-13 c-sml-col-1 c-span-12 c-sml-span-12  c-required" data-field="BookingContactTelephone">
            <div class="c-label  "><label id="c-15-489-label" for="c-15-489">Booking Contact Telephone <span class="c-offscreen c-required-screenreaders">required</span> <span class="c-offscreen c-validation-screenreaders">,
                  <span></span></span></label></div>
            <div class="c-editor c-editor-phone"><input type="text" id="c-15-489" placeholder="" autocomplete="tel" novalidate=""></div>
            <div class="c-validation" aria-hidden="true"></div>
          </div>
          <fieldset class="c-address c-address-international c-field  c-col-1 c-sml-col-1 c-span-24 c-sml-span-12  c-required" data-field="BookingContactAddress">
            <legend class="c-label ">Booking Contact Address <span class="c-offscreen c-required-screenreaders">required</span> <span class="c-offscreen c-validation-screenreaders">, <span>Address Line 1, City, State, Postal / Zip Code and Country
                  are required.</span></span></legend>
            <div>
              <div class="c-editor" style="float: left;"><input type="text" id="c-16-250" title="Address Line 1" placeholder="Address Line 1" autocomplete="address-line1"></div>
              <div class="c-editor" style="float: left;"><input type="text" id="c-17-250" title="Address Line 2" placeholder="Address Line 2" autocomplete="address-line2"></div>
              <div class="c-editor c-partial-line" style="float: left;"><input type="text" id="c-18-250" title="City" placeholder="City" autocomplete="address-level2"></div>
              <div class="c-editor c-partial-line" style="float: left;"><input type="text" id="c-19-250" title="State / Province / Region" placeholder="State / Province / Region" autocomplete="address-level1"></div>
              <div class="c-editor c-partial-line" style="float: left;"><input type="text" id="c-20-250" title="Postal / Zip Code" placeholder="Postal / Zip Code" autocomplete="postal-code"></div>
              <div class="c-editor c-partial-line c-placeholder-text-styled toggle-on" style="float: left;">
                <div class="c-dropdown"><select id="c-21-250" class="" title="Country" autocomplete="country">
                    <option value="">Country</option>
                    <option value="Afghanistan">Afghanistan</option>
                    <option value="Albania">Albania</option>
                    <option value="Algeria">Algeria</option>
                    <option value="American Samoa">American Samoa</option>
                    <option value="Andorra">Andorra</option>
                    <option value="Angola">Angola</option>
                    <option value="Anguilla">Anguilla</option>
                    <option value="Antarctica">Antarctica</option>
                    <option value="Antigua and Barbuda">Antigua and Barbuda</option>
                    <option value="Argentina">Argentina</option>
                    <option value="Armenia">Armenia</option>
                    <option value="Aruba">Aruba</option>
                    <option value="Australia">Australia</option>
                    <option value="Austria">Austria</option>
                    <option value="Azerbaijan">Azerbaijan</option>
                    <option value="Bahamas">Bahamas</option>
                    <option value="Bahrain">Bahrain</option>
                    <option value="Bangladesh">Bangladesh</option>
                    <option value="Barbados">Barbados</option>
                    <option value="Belarus">Belarus</option>
                    <option value="Belgium">Belgium</option>
                    <option value="Belize">Belize</option>
                    <option value="Benin">Benin</option>
                    <option value="Bermuda">Bermuda</option>
                    <option value="Bhutan">Bhutan</option>
                    <option value="Bolivia">Bolivia</option>
                    <option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
                    <option value="Botswana">Botswana</option>
                    <option value="Brazil">Brazil</option>
                    <option value="Brunei Darussalam">Brunei Darussalam</option>
                    <option value="Bulgaria">Bulgaria</option>
                    <option value="Burkina Faso">Burkina Faso</option>
                    <option value="Burundi">Burundi</option>
                    <option value="Cambodia">Cambodia</option>
                    <option value="Cameroon">Cameroon</option>
                    <option value="Canada">Canada</option>
                    <option value="Cape Verde">Cape Verde</option>
                    <option value="Cayman Islands">Cayman Islands</option>
                    <option value="Central African Republic">Central African Republic</option>
                    <option value="Chad">Chad</option>
                    <option value="Chile">Chile</option>
                    <option value="China">China</option>
                    <option value="Christmas Island">Christmas Island</option>
                    <option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option>
                    <option value="Colombia">Colombia</option>
                    <option value="Comoros">Comoros</option>
                    <option value="Congo, Republic of(Brazzaville)">Congo, Republic of(Brazzaville)</option>
                    <option value="Cook Islands">Cook Islands</option>
                    <option value="Costa Rica">Costa Rica</option>
                    <option value="Croatia">Croatia</option>
                    <option value="Cuba">Cuba</option>
                    <option value="Cyprus">Cyprus</option>
                    <option value="Czech Republic">Czech Republic</option>
                    <option value="Democratic Republic of the Congo (Kinshasa)">Democratic Republic of the Congo (Kinshasa)</option>
                    <option value="Denmark">Denmark</option>
                    <option value="Djibouti">Djibouti</option>
                    <option value="Dominica">Dominica</option>
                    <option value="Dominican Republic">Dominican Republic</option>
                    <option value="East Timor (Timor-Leste)">East Timor (Timor-Leste)</option>
                    <option value="Ecuador">Ecuador</option>
                    <option value="Egypt">Egypt</option>
                    <option value="El Salvador">El Salvador</option>
                    <option value="Equatorial Guinea">Equatorial Guinea</option>
                    <option value="Eritrea">Eritrea</option>
                    <option value="Estonia">Estonia</option>
                    <option value="Ethiopia">Ethiopia</option>
                    <option value="Falkland Islands">Falkland Islands</option>
                    <option value="Faroe Islands">Faroe Islands</option>
                    <option value="Fiji">Fiji</option>
                    <option value="Finland">Finland</option>
                    <option value="France">France</option>
                    <option value="French Guiana">French Guiana</option>
                    <option value="French Polynesia">French Polynesia</option>
                    <option value="French Southern Territories">French Southern Territories</option>
                    <option value="Gabon">Gabon</option>
                    <option value="Gambia">Gambia</option>
                    <option value="Georgia">Georgia</option>
                    <option value="Germany">Germany</option>
                    <option value="Ghana">Ghana</option>
                    <option value="Gibraltar">Gibraltar</option>
                    <option value="Great Britain">Great Britain</option>
                    <option value="Greece">Greece</option>
                    <option value="Greenland">Greenland</option>
                    <option value="Grenada">Grenada</option>
                    <option value="Guadeloupe">Guadeloupe</option>
                    <option value="Guam">Guam</option>
                    <option value="Guatemala">Guatemala</option>
                    <option value="Guinea">Guinea</option>
                    <option value="Guinea-Bissau">Guinea-Bissau</option>
                    <option value="Guyana">Guyana</option>
                    <option value="Haiti">Haiti</option>
                    <option value="Holy See">Holy See</option>
                    <option value="Honduras">Honduras</option>
                    <option value="Hong Kong">Hong Kong</option>
                    <option value="Hungary">Hungary</option>
                    <option value="Iceland">Iceland</option>
                    <option value="India">India</option>
                    <option value="Indonesia">Indonesia</option>
                    <option value="Iran (Islamic Republic of)">Iran (Islamic Republic of)</option>
                    <option value="Iraq">Iraq</option>
                    <option value="Ireland">Ireland</option>
                    <option value="Israel">Israel</option>
                    <option value="Italy">Italy</option>
                    <option value="Ivory Coast">Ivory Coast</option>
                    <option value="Jamaica">Jamaica</option>
                    <option value="Japan">Japan</option>
                    <option value="Jordan">Jordan</option>
                    <option value="Kazakhstan">Kazakhstan</option>
                    <option value="Kenya">Kenya</option>
                    <option value="Kiribati">Kiribati</option>
                    <option value="Korea, Democratic People's Rep. (North Korea)">Korea, Democratic People's Rep. (North Korea)</option>
                    <option value="Korea, Republic of (South Korea)">Korea, Republic of (South Korea)</option>
                    <option value="Kosovo">Kosovo</option>
                    <option value="Kuwait">Kuwait</option>
                    <option value="Kyrgyzstan">Kyrgyzstan</option>
                    <option value="Lao, People's Democratic Republic">Lao, People's Democratic Republic</option>
                    <option value="Latvia">Latvia</option>
                    <option value="Lebanon">Lebanon</option>
                    <option value="Lesotho">Lesotho</option>
                    <option value="Liberia">Liberia</option>
                    <option value="Libya">Libya</option>
                    <option value="Liechtenstein">Liechtenstein</option>
                    <option value="Lithuania">Lithuania</option>
                    <option value="Luxembourg">Luxembourg</option>
                    <option value="Macau">Macau</option>
                    <option value="Macedonia, Rep. of">Macedonia, Rep. of</option>
                    <option value="Madagascar">Madagascar</option>
                    <option value="Malawi">Malawi</option>
                    <option value="Malaysia">Malaysia</option>
                    <option value="Maldives">Maldives</option>
                    <option value="Mali">Mali</option>
                    <option value="Malta">Malta</option>
                    <option value="Marshall Islands">Marshall Islands</option>
                    <option value="Martinique">Martinique</option>
                    <option value="Mauritania">Mauritania</option>
                    <option value="Mauritius">Mauritius</option>
                    <option value="Mayotte">Mayotte</option>
                    <option value="Mexico">Mexico</option>
                    <option value="Micronesia, Federal States of">Micronesia, Federal States of</option>
                    <option value="Moldova, Republic of">Moldova, Republic of</option>
                    <option value="Monaco">Monaco</option>
                    <option value="Mongolia">Mongolia</option>
                    <option value="Montenegro">Montenegro</option>
                    <option value="Montserrat">Montserrat</option>
                    <option value="Morocco">Morocco</option>
                    <option value="Mozambique">Mozambique</option>
                    <option value="Myanmar, Burma">Myanmar, Burma</option>
                    <option value="Namibia">Namibia</option>
                    <option value="Nauru">Nauru</option>
                    <option value="Nepal">Nepal</option>
                    <option value="Netherlands">Netherlands</option>
                    <option value="Netherlands Antilles">Netherlands Antilles</option>
                    <option value="New Caledonia">New Caledonia</option>
                    <option value="New Zealand">New Zealand</option>
                    <option value="Nicaragua">Nicaragua</option>
                    <option value="Niger">Niger</option>
                    <option value="Nigeria">Nigeria</option>
                    <option value="Niue">Niue</option>
                    <option value="Northern Mariana Islands">Northern Mariana Islands</option>
                    <option value="Norway">Norway</option>
                    <option value="Oman">Oman</option>
                    <option value="Pakistan">Pakistan</option>
                    <option value="Palau">Palau</option>
                    <option value="Palestinian territories">Palestinian territories</option>
                    <option value="Panama">Panama</option>
                    <option value="Papua New Guinea">Papua New Guinea</option>
                    <option value="Paraguay">Paraguay</option>
                    <option value="Peru">Peru</option>
                    <option value="Philippines">Philippines</option>
                    <option value="Pitcairn Island">Pitcairn Island</option>
                    <option value="Poland">Poland</option>
                    <option value="Portugal">Portugal</option>
                    <option value="Puerto Rico">Puerto Rico</option>
                    <option value="Qatar">Qatar</option>
                    <option value="Reunion Island">Reunion Island</option>
                    <option value="Romania">Romania</option>
                    <option value="Russian Federation">Russian Federation</option>
                    <option value="Rwanda">Rwanda</option>
                    <option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
                    <option value="Saint Lucia">Saint Lucia</option>
                    <option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option>
                    <option value="Samoa">Samoa</option>
                    <option value="San Marino">San Marino</option>
                    <option value="Sao Tome and Principe">Sao Tome and Principe</option>
                    <option value="Saudi Arabia">Saudi Arabia</option>
                    <option value="Senegal">Senegal</option>
                    <option value="Serbia">Serbia</option>
                    <option value="Seychelles">Seychelles</option>
                    <option value="Sierra Leone">Sierra Leone</option>
                    <option value="Singapore">Singapore</option>
                    <option value="Slovakia (Slovak Republic)">Slovakia (Slovak Republic)</option>
                    <option value="Slovenia">Slovenia</option>
                    <option value="Solomon Islands">Solomon Islands</option>
                    <option value="Somalia">Somalia</option>
                    <option value="South Africa">South Africa</option>
                    <option value="South Sudan">South Sudan</option>
                    <option value="Spain">Spain</option>
                    <option value="Sri Lanka">Sri Lanka</option>
                    <option value="Sudan">Sudan</option>
                    <option value="Suriname">Suriname</option>
                    <option value="Swaziland">Swaziland</option>
                    <option value="Sweden">Sweden</option>
                    <option value="Switzerland">Switzerland</option>
                    <option value="Syria, Syrian Arab Republic">Syria, Syrian Arab Republic</option>
                    <option value="Taiwan (Republic of China)">Taiwan (Republic of China)</option>
                    <option value="Tajikistan">Tajikistan</option>
                    <option value="Tanzania; officially the United Republic of Tanzania">Tanzania; officially the United Republic of Tanzania</option>
                    <option value="Thailand">Thailand</option>
                    <option value="Tibet">Tibet</option>
                    <option value="Timor-Leste (East Timor)">Timor-Leste (East Timor)</option>
                    <option value="Togo">Togo</option>
                    <option value="Tokelau">Tokelau</option>
                    <option value="Tonga">Tonga</option>
                    <option value="Trinidad and Tobago">Trinidad and Tobago</option>
                    <option value="Tunisia">Tunisia</option>
                    <option value="Turkey">Turkey</option>
                    <option value="Turkmenistan">Turkmenistan</option>
                    <option value="Turks and Caicos Islands">Turks and Caicos Islands</option>
                    <option value="Tuvalu">Tuvalu</option>
                    <option value="Uganda">Uganda</option>
                    <option value="Ukraine">Ukraine</option>
                    <option value="United Arab Emirates">United Arab Emirates</option>
                    <option value="United Kingdom">United Kingdom</option>
                    <option value="United States">United States</option>
                    <option value="Uruguay">Uruguay</option>
                    <option value="Uzbekistan">Uzbekistan</option>
                    <option value="Vanuatu">Vanuatu</option>
                    <option value="Vatican City State (Holy See)">Vatican City State (Holy See)</option>
                    <option value="Venezuela">Venezuela</option>
                    <option value="Vietnam">Vietnam</option>
                    <option value="Virgin Islands (British)">Virgin Islands (British)</option>
                    <option value="Virgin Islands (U.S.)">Virgin Islands (U.S.)</option>
                    <option value="Wallis and Futuna Islands">Wallis and Futuna Islands</option>
                    <option value="Western Sahara">Western Sahara</option>
                    <option value="Yemen">Yemen</option>
                    <option value="Zambia">Zambia</option>
                    <option value="Zimbabwe">Zimbabwe</option>
                  </select></div>
              </div>
            </div>
            <div class="c-validation" aria-hidden="true">Address Line 1, City, State, Postal / Zip Code and Country are required.</div>
            <div class="c-helptext c-html">
              <p>Note that this address should be the regular work address of the training contact, not necessarily the address of the first site at which training is taking place.</p>
            </div>
          </fieldset>
          <fieldset class="c-yesno-radiobuttons c-field  c-col-1 c-sml-col-1 c-span-24 c-sml-span-12" data-field="AreTheBookingAndAccountsContactsTheSamePerson">
            <legend class="c-label  ">Are the Booking and Accounts Contacts the same person? <span class="c-offscreen c-required-screenreaders">required</span> <span class="c-offscreen c-validation-screenreaders">, <span></span></span></legend>
            <div class="c-editor c-columns-0"><label class="c-yesno-radio" for="c-23-248"><input type="radio" name="group247" id="c-23-248"><span>Yes</span></label><label class="c-yesno-radio" for="c-23-249"><input type="radio" name="group247"
                  id="c-23-249" checked="checked"><span>No</span></label></div>
            <div class="c-validation" aria-hidden="true"></div>
          </fieldset><span class="c-visible-container toggle-on" style="clear: left;">
            <fieldset class="c-name c-field  c-col-1 c-sml-col-1 c-span-24 c-sml-span-12  c-required" data-field="AccountsContactName">
              <legend class="c-label ">Accounts Contact Name <span class="c-offscreen c-required-screenreaders">required</span> <span class="c-offscreen c-validation-screenreaders">, <span>First and Last are required.</span></span></legend>
              <div>
                <div class="c-editor c-span-1" style="width: 20%; float: left;"><input type="text" id="c-24-246" placeholder="Title" title="Title"></div>
                <div class="c-editor c-span-1" style="width: 40%; float: left;"><input type="text" id="c-25-246" autocomplete="given-name" placeholder="First" title="First"></div>
                <div class="c-editor c-span-1" style="width: 40%; float: left;"><input type="text" id="c-26-246" autocomplete="family-name" placeholder="Last" title="Last"></div>
              </div>
              <div class="c-validation" aria-hidden="true">First and Last are required.</div>
            </fieldset>
          </span><span class="c-visible-container toggle-on" style="clear: left;">
            <div class="c-email c-field  c-col-1 c-sml-col-1 c-span-12 c-sml-span-12  c-required" data-field="AccountsEmail">
              <div class="c-label  "><label id="c-28-245-label" for="c-28-245">Accounts Email <span class="c-offscreen c-required-screenreaders">required</span> <span class="c-offscreen c-validation-screenreaders">, <span>Accounts Email is
                      required.</span></span></label></div>
              <div class="c-editor c-editor-email"><input type="text" id="c-28-245" placeholder="" autocomplete="email" novalidate=""></div>
              <div class="c-validation" aria-hidden="true">Accounts Email is required.</div>
            </div>
          </span><span class="c-visible-container toggle-on">
            <div class="c-phone c-phone-international c-field  c-col-13 c-sml-col-1 c-span-12 c-sml-span-12  c-required" data-field="AccountsTelephone">
              <div class="c-label  "><label id="c-29-244-label" for="c-29-244">Accounts Telephone <span class="c-offscreen c-required-screenreaders">required</span> <span class="c-offscreen c-validation-screenreaders">, <span></span></span></label>
              </div>
              <div class="c-editor c-editor-phone"><input type="text" id="c-29-244" placeholder="" autocomplete="tel" novalidate=""></div>
              <div class="c-validation" aria-hidden="true"></div>
            </div>
          </span><span class="c-visible-container toggle-on" style="clear: left;">
            <fieldset class="c-yesno-radiobuttons c-field  c-col-1 c-sml-col-1 c-span-24 c-sml-span-12" data-field="UseBookingContactAddressForAccountsContact">
              <legend class="c-label  ">Use Booking Contact address for Accounts Contact? <span class="c-offscreen c-required-screenreaders">required</span> <span class="c-offscreen c-validation-screenreaders">, <span></span></span></legend>
              <div class="c-editor c-columns-0"><label class="c-yesno-radio" for="c-30-242"><input type="radio" name="group241" id="c-30-242"><span>Yes</span></label><label class="c-yesno-radio" for="c-30-243"><input type="radio" name="group241"
                    id="c-30-243" checked="checked"><span>No</span></label></div>
              <div class="c-validation" aria-hidden="true"></div>
            </fieldset>
          </span><span class="c-visible-container toggle-on" style="clear: left;">
            <fieldset class="c-address c-address-international c-field  c-col-1 c-sml-col-1 c-span-24 c-sml-span-12  c-required" data-field="AccountsInvoiceAddress">
              <legend class="c-label ">Accounts/Invoice Address <span class="c-offscreen c-required-screenreaders">required</span> <span class="c-offscreen c-validation-screenreaders">, <span>Address Line 1, City, State, Postal / Zip Code and Country
                    are required.</span></span></legend>
              <div>
                <div class="c-editor" style="float: left;"><input type="text" id="c-31-2" title="Address Line 1" placeholder="Address Line 1" autocomplete="address-line1"></div>
                <div class="c-editor" style="float: left;"><input type="text" id="c-32-2" title="Address Line 2" placeholder="Address Line 2" autocomplete="address-line2"></div>
                <div class="c-editor c-partial-line" style="float: left;"><input type="text" id="c-33-2" title="City" placeholder="City" autocomplete="address-level2"></div>
                <div class="c-editor c-partial-line" style="float: left;"><input type="text" id="c-34-2" title="State / Province / Region" placeholder="State / Province / Region" autocomplete="address-level1"></div>
                <div class="c-editor c-partial-line" style="float: left;"><input type="text" id="c-35-2" title="Postal / Zip Code" placeholder="Postal / Zip Code" autocomplete="postal-code"></div>
                <div class="c-editor c-partial-line c-placeholder-text-styled toggle-on" style="float: left;">
                  <div class="c-dropdown"><select id="c-36-2" class="" title="Country" autocomplete="country">
                      <option value="">Country</option>
                      <option value="Afghanistan">Afghanistan</option>
                      <option value="Albania">Albania</option>
                      <option value="Algeria">Algeria</option>
                      <option value="American Samoa">American Samoa</option>
                      <option value="Andorra">Andorra</option>
                      <option value="Angola">Angola</option>
                      <option value="Anguilla">Anguilla</option>
                      <option value="Antarctica">Antarctica</option>
                      <option value="Antigua and Barbuda">Antigua and Barbuda</option>
                      <option value="Argentina">Argentina</option>
                      <option value="Armenia">Armenia</option>
                      <option value="Aruba">Aruba</option>
                      <option value="Australia">Australia</option>
                      <option value="Austria">Austria</option>
                      <option value="Azerbaijan">Azerbaijan</option>
                      <option value="Bahamas">Bahamas</option>
                      <option value="Bahrain">Bahrain</option>
                      <option value="Bangladesh">Bangladesh</option>
                      <option value="Barbados">Barbados</option>
                      <option value="Belarus">Belarus</option>
                      <option value="Belgium">Belgium</option>
                      <option value="Belize">Belize</option>
                      <option value="Benin">Benin</option>
                      <option value="Bermuda">Bermuda</option>
                      <option value="Bhutan">Bhutan</option>
                      <option value="Bolivia">Bolivia</option>
                      <option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
                      <option value="Botswana">Botswana</option>
                      <option value="Brazil">Brazil</option>
                      <option value="Brunei Darussalam">Brunei Darussalam</option>
                      <option value="Bulgaria">Bulgaria</option>
                      <option value="Burkina Faso">Burkina Faso</option>
                      <option value="Burundi">Burundi</option>
                      <option value="Cambodia">Cambodia</option>
                      <option value="Cameroon">Cameroon</option>
                      <option value="Canada">Canada</option>
                      <option value="Cape Verde">Cape Verde</option>
                      <option value="Cayman Islands">Cayman Islands</option>
                      <option value="Central African Republic">Central African Republic</option>
                      <option value="Chad">Chad</option>
                      <option value="Chile">Chile</option>
                      <option value="China">China</option>
                      <option value="Christmas Island">Christmas Island</option>
                      <option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option>
                      <option value="Colombia">Colombia</option>
                      <option value="Comoros">Comoros</option>
                      <option value="Congo, Republic of(Brazzaville)">Congo, Republic of(Brazzaville)</option>
                      <option value="Cook Islands">Cook Islands</option>
                      <option value="Costa Rica">Costa Rica</option>
                      <option value="Croatia">Croatia</option>
                      <option value="Cuba">Cuba</option>
                      <option value="Cyprus">Cyprus</option>
                      <option value="Czech Republic">Czech Republic</option>
                      <option value="Democratic Republic of the Congo (Kinshasa)">Democratic Republic of the Congo (Kinshasa)</option>
                      <option value="Denmark">Denmark</option>
                      <option value="Djibouti">Djibouti</option>
                      <option value="Dominica">Dominica</option>
                      <option value="Dominican Republic">Dominican Republic</option>
                      <option value="East Timor (Timor-Leste)">East Timor (Timor-Leste)</option>
                      <option value="Ecuador">Ecuador</option>
                      <option value="Egypt">Egypt</option>
                      <option value="El Salvador">El Salvador</option>
                      <option value="Equatorial Guinea">Equatorial Guinea</option>
                      <option value="Eritrea">Eritrea</option>
                      <option value="Estonia">Estonia</option>
                      <option value="Ethiopia">Ethiopia</option>
                      <option value="Falkland Islands">Falkland Islands</option>
                      <option value="Faroe Islands">Faroe Islands</option>
                      <option value="Fiji">Fiji</option>
                      <option value="Finland">Finland</option>
                      <option value="France">France</option>
                      <option value="French Guiana">French Guiana</option>
                      <option value="French Polynesia">French Polynesia</option>
                      <option value="French Southern Territories">French Southern Territories</option>
                      <option value="Gabon">Gabon</option>
                      <option value="Gambia">Gambia</option>
                      <option value="Georgia">Georgia</option>
                      <option value="Germany">Germany</option>
                      <option value="Ghana">Ghana</option>
                      <option value="Gibraltar">Gibraltar</option>
                      <option value="Great Britain">Great Britain</option>
                      <option value="Greece">Greece</option>
                      <option value="Greenland">Greenland</option>
                      <option value="Grenada">Grenada</option>
                      <option value="Guadeloupe">Guadeloupe</option>
                      <option value="Guam">Guam</option>
                      <option value="Guatemala">Guatemala</option>
                      <option value="Guinea">Guinea</option>
                      <option value="Guinea-Bissau">Guinea-Bissau</option>
                      <option value="Guyana">Guyana</option>
                      <option value="Haiti">Haiti</option>
                      <option value="Holy See">Holy See</option>
                      <option value="Honduras">Honduras</option>
                      <option value="Hong Kong">Hong Kong</option>
                      <option value="Hungary">Hungary</option>
                      <option value="Iceland">Iceland</option>
                      <option value="India">India</option>
                      <option value="Indonesia">Indonesia</option>
                      <option value="Iran (Islamic Republic of)">Iran (Islamic Republic of)</option>
                      <option value="Iraq">Iraq</option>
                      <option value="Ireland">Ireland</option>
                      <option value="Israel">Israel</option>
                      <option value="Italy">Italy</option>
                      <option value="Ivory Coast">Ivory Coast</option>
                      <option value="Jamaica">Jamaica</option>
                      <option value="Japan">Japan</option>
                      <option value="Jordan">Jordan</option>
                      <option value="Kazakhstan">Kazakhstan</option>
                      <option value="Kenya">Kenya</option>
                      <option value="Kiribati">Kiribati</option>
                      <option value="Korea, Democratic People's Rep. (North Korea)">Korea, Democratic People's Rep. (North Korea)</option>
                      <option value="Korea, Republic of (South Korea)">Korea, Republic of (South Korea)</option>
                      <option value="Kosovo">Kosovo</option>
                      <option value="Kuwait">Kuwait</option>
                      <option value="Kyrgyzstan">Kyrgyzstan</option>
                      <option value="Lao, People's Democratic Republic">Lao, People's Democratic Republic</option>
                      <option value="Latvia">Latvia</option>
                      <option value="Lebanon">Lebanon</option>
                      <option value="Lesotho">Lesotho</option>
                      <option value="Liberia">Liberia</option>
                      <option value="Libya">Libya</option>
                      <option value="Liechtenstein">Liechtenstein</option>
                      <option value="Lithuania">Lithuania</option>
                      <option value="Luxembourg">Luxembourg</option>
                      <option value="Macau">Macau</option>
                      <option value="Macedonia, Rep. of">Macedonia, Rep. of</option>
                      <option value="Madagascar">Madagascar</option>
                      <option value="Malawi">Malawi</option>
                      <option value="Malaysia">Malaysia</option>
                      <option value="Maldives">Maldives</option>
                      <option value="Mali">Mali</option>
                      <option value="Malta">Malta</option>
                      <option value="Marshall Islands">Marshall Islands</option>
                      <option value="Martinique">Martinique</option>
                      <option value="Mauritania">Mauritania</option>
                      <option value="Mauritius">Mauritius</option>
                      <option value="Mayotte">Mayotte</option>
                      <option value="Mexico">Mexico</option>
                      <option value="Micronesia, Federal States of">Micronesia, Federal States of</option>
                      <option value="Moldova, Republic of">Moldova, Republic of</option>
                      <option value="Monaco">Monaco</option>
                      <option value="Mongolia">Mongolia</option>
                      <option value="Montenegro">Montenegro</option>
                      <option value="Montserrat">Montserrat</option>
                      <option value="Morocco">Morocco</option>
                      <option value="Mozambique">Mozambique</option>
                      <option value="Myanmar, Burma">Myanmar, Burma</option>
                      <option value="Namibia">Namibia</option>
                      <option value="Nauru">Nauru</option>
                      <option value="Nepal">Nepal</option>
                      <option value="Netherlands">Netherlands</option>
                      <option value="Netherlands Antilles">Netherlands Antilles</option>
                      <option value="New Caledonia">New Caledonia</option>
                      <option value="New Zealand">New Zealand</option>
                      <option value="Nicaragua">Nicaragua</option>
                      <option value="Niger">Niger</option>
                      <option value="Nigeria">Nigeria</option>
                      <option value="Niue">Niue</option>
                      <option value="Northern Mariana Islands">Northern Mariana Islands</option>
                      <option value="Norway">Norway</option>
                      <option value="Oman">Oman</option>
                      <option value="Pakistan">Pakistan</option>
                      <option value="Palau">Palau</option>
                      <option value="Palestinian territories">Palestinian territories</option>
                      <option value="Panama">Panama</option>
                      <option value="Papua New Guinea">Papua New Guinea</option>
                      <option value="Paraguay">Paraguay</option>
                      <option value="Peru">Peru</option>
                      <option value="Philippines">Philippines</option>
                      <option value="Pitcairn Island">Pitcairn Island</option>
                      <option value="Poland">Poland</option>
                      <option value="Portugal">Portugal</option>
                      <option value="Puerto Rico">Puerto Rico</option>
                      <option value="Qatar">Qatar</option>
                      <option value="Reunion Island">Reunion Island</option>
                      <option value="Romania">Romania</option>
                      <option value="Russian Federation">Russian Federation</option>
                      <option value="Rwanda">Rwanda</option>
                      <option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
                      <option value="Saint Lucia">Saint Lucia</option>
                      <option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option>
                      <option value="Samoa">Samoa</option>
                      <option value="San Marino">San Marino</option>
                      <option value="Sao Tome and Principe">Sao Tome and Principe</option>
                      <option value="Saudi Arabia">Saudi Arabia</option>
                      <option value="Senegal">Senegal</option>
                      <option value="Serbia">Serbia</option>
                      <option value="Seychelles">Seychelles</option>
                      <option value="Sierra Leone">Sierra Leone</option>
                      <option value="Singapore">Singapore</option>
                      <option value="Slovakia (Slovak Republic)">Slovakia (Slovak Republic)</option>
                      <option value="Slovenia">Slovenia</option>
                      <option value="Solomon Islands">Solomon Islands</option>
                      <option value="Somalia">Somalia</option>
                      <option value="South Africa">South Africa</option>
                      <option value="South Sudan">South Sudan</option>
                      <option value="Spain">Spain</option>
                      <option value="Sri Lanka">Sri Lanka</option>
                      <option value="Sudan">Sudan</option>
                      <option value="Suriname">Suriname</option>
                      <option value="Swaziland">Swaziland</option>
                      <option value="Sweden">Sweden</option>
                      <option value="Switzerland">Switzerland</option>
                      <option value="Syria, Syrian Arab Republic">Syria, Syrian Arab Republic</option>
                      <option value="Taiwan (Republic of China)">Taiwan (Republic of China)</option>
                      <option value="Tajikistan">Tajikistan</option>
                      <option value="Tanzania; officially the United Republic of Tanzania">Tanzania; officially the United Republic of Tanzania</option>
                      <option value="Thailand">Thailand</option>
                      <option value="Tibet">Tibet</option>
                      <option value="Timor-Leste (East Timor)">Timor-Leste (East Timor)</option>
                      <option value="Togo">Togo</option>
                      <option value="Tokelau">Tokelau</option>
                      <option value="Tonga">Tonga</option>
                      <option value="Trinidad and Tobago">Trinidad and Tobago</option>
                      <option value="Tunisia">Tunisia</option>
                      <option value="Turkey">Turkey</option>
                      <option value="Turkmenistan">Turkmenistan</option>
                      <option value="Turks and Caicos Islands">Turks and Caicos Islands</option>
                      <option value="Tuvalu">Tuvalu</option>
                      <option value="Uganda">Uganda</option>
                      <option value="Ukraine">Ukraine</option>
                      <option value="United Arab Emirates">United Arab Emirates</option>
                      <option value="United Kingdom">United Kingdom</option>
                      <option value="United States">United States</option>
                      <option value="Uruguay">Uruguay</option>
                      <option value="Uzbekistan">Uzbekistan</option>
                      <option value="Vanuatu">Vanuatu</option>
                      <option value="Vatican City State (Holy See)">Vatican City State (Holy See)</option>
                      <option value="Venezuela">Venezuela</option>
                      <option value="Vietnam">Vietnam</option>
                      <option value="Virgin Islands (British)">Virgin Islands (British)</option>
                      <option value="Virgin Islands (U.S.)">Virgin Islands (U.S.)</option>
                      <option value="Wallis and Futuna Islands">Wallis and Futuna Islands</option>
                      <option value="Western Sahara">Western Sahara</option>
                      <option value="Yemen">Yemen</option>
                      <option value="Zambia">Zambia</option>
                      <option value="Zimbabwe">Zimbabwe</option>
                    </select></div>
                </div>
              </div>
              <div class="c-validation" aria-hidden="true">Address Line 1, City, State, Postal / Zip Code and Country are required.</div>
            </fieldset>
          </span>
        </div>
      </div>
      <div id="c-recaptcha-div"></div>
      <div class="c-forms-error">
        <div aria-hidden="true" class="c-validation"></div>
      </div>
      <div class="c-button-section">
        <div class="c-action"><button type="submit" class="c-button" id="c-submit-button">Submit</button></div>
      </div>
    </div>
    <div class="c-forms-confirmation toggle-off" sys:attach="toggle" toggle:on="{binding displayConfirmation, source={{ Cognito.Forms.model }} }" toggle:action="render" style="display: none;"></div>
  </div>
</form>

Text Content

CUSTOMER DETAILS

Please enter your company details below to assist us in accurately creating or
updating our internal systems. Please refer to our terms at:
http://terms.tal.training/ for further information.
Are you an existing Train-a-Lift customer? required ,
YesNo

Company Legal Name required , Company Legal Name is required.

Company Legal Name is required.

eg. Train-a-Lift Ltd

Trading Name required , Trading Name is required.

Trading Name is required.

e.g. Train-a-Lift

Is your organisation a limited company? (Limited or Ltd) required ,
YesNo

Company Registration Number required , Company Registration Number is required.

Company Registration Number is required.

Please enter the registration number that identifies your organisation at
Companies House.

Company Type required ,

eg. LLP, Sole Trader, Partnership etc.

Is your organisation VAT registered? required ,
YesNo

VAT Number required , VAT Number is required.

VAT Number is required.

eg. GB999999973

Company Switchboard required , Company Switchboard is required.

Company Switchboard is required.
Company Main Email required ,

Booking Contact Name required , First and Last are required.

First and Last are required.
Booking Contact Email required , Booking Contact Email is required.

Booking Contact Email is required.
Booking Contact Telephone required ,

Booking Contact Address required , Address Line 1, City, State, Postal / Zip
Code and Country are required.
CountryAfghanistanAlbaniaAlgeriaAmerican
SamoaAndorraAngolaAnguillaAntarcticaAntigua and
BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia
and HerzegovinaBotswanaBrazilBrunei DarussalamBulgariaBurkina
FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African
RepublicChadChileChinaChristmas IslandCocos (Keeling)
IslandsColombiaComorosCongo, Republic of(Brazzaville)Cook IslandsCosta
RicaCroatiaCubaCyprusCzech RepublicDemocratic Republic of the Congo
(Kinshasa)DenmarkDjiboutiDominicaDominican RepublicEast Timor
(Timor-Leste)EcuadorEgyptEl SalvadorEquatorial
GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench
GuianaFrench PolynesiaFrench Southern
TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreat
BritainGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHoly
SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic
of)IraqIrelandIsraelItalyIvory
CoastJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, Democratic People's Rep.
(North Korea)Korea, Republic of (South Korea)KosovoKuwaitKyrgyzstanLao, People's
Democratic
RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedonia,
Rep. ofMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall
IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federal States
ofMoldova, Republic
ofMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmar,
BurmaNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew
ZealandNicaraguaNigerNigeriaNiueNorthern Mariana
IslandsNorwayOmanPakistanPalauPalestinian territoriesPanamaPapua New
GuineaParaguayPeruPhilippinesPitcairn IslandPolandPortugalPuerto
RicoQatarReunion IslandRomaniaRussian FederationRwandaSaint Kitts and NevisSaint
LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi
ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakia (Slovak
Republic)SloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri
LankaSudanSurinameSwazilandSwedenSwitzerlandSyria, Syrian Arab RepublicTaiwan
(Republic of China)TajikistanTanzania; officially the United Republic of
TanzaniaThailandTibetTimor-Leste (East Timor)TogoTokelauTongaTrinidad and
TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited
Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican City
State (Holy See)VenezuelaVietnamVirgin Islands (British)Virgin Islands
(U.S.)Wallis and Futuna IslandsWestern SaharaYemenZambiaZimbabwe
Address Line 1, City, State, Postal / Zip Code and Country are required.

Note that this address should be the regular work address of the training
contact, not necessarily the address of the first site at which training is
taking place.

Are the Booking and Accounts Contacts the same person? required ,
YesNo

Accounts Contact Name required , First and Last are required.

First and Last are required.
Accounts Email required , Accounts Email is required.

Accounts Email is required.
Accounts Telephone required ,

Use Booking Contact address for Accounts Contact? required ,
YesNo

Accounts/Invoice Address required , Address Line 1, City, State, Postal / Zip
Code and Country are required.
CountryAfghanistanAlbaniaAlgeriaAmerican
SamoaAndorraAngolaAnguillaAntarcticaAntigua and
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