Make a Difference Challenge

Make a Difference Challenge - Annual Licence

School/Organisation Details

School or Organisation Name

Postcode

Lead Teacher Details (please note that this is the name that will appear on the CPD certificate of completion of the teacher training course included in the annual licence package)

First Name

Last Name

Job Title

Email Address

This is the email that will be linked to your main account.

Additional Teachers

If you would like to purchased additional teacher training course (£50 pp) now please complete the section below. You will need to enter the name and email address of the additional teachers. You will be able to purchase additional teacher training licences later.

Number of additional teacher training licences

Additional Teacher 1

First Name

Last Name

Job Title

Email Address

Additional Teacher 2

First Name

Last Name

Job Title

Email Address

Additional Teacher 3

First Name

Last Name

Job Title

Email Address

Additional Teacher 4

First Name

Last Name

Job Title

Email Address

Additional Teacher 5

First Name

Last Name

Job Title

Email Address

Additional Teacher 6

First Name

Last Name

Job Title

Email Address

Additional Teacher 7

First Name

Last Name

Job Title

Email Address

Additional Teacher 8

First Name

Last Name

Job Title

Email Address

Additional Teacher 9

First Name

Last Name

Job Title

Email Address

Additional Teacher 10

First Name

Last Name

Job Title

Email Address

How did you hear about the programme?

Payment

You will be charged:

Annual Fee:

One Off payment:

Total Charged Today

Please note that your annual fee will be charged once a year on this date. You will be able to cancel your subscription at any time by emailing makeadifferencechallenge@youngcitizens.org (please see Terms of use for more information)

Name on Card

Code

Card Number

Billing Email

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Contact Information