Sensory Street Circuits Order Form

Circuit Order Form

Course Consultation Form: Contact

First Name

Last Name

School Phone Number

Job Title

Name of School

Work Email

Multi-line address

Country/Region

Address

City

Zip / Postal code

Finance Contact Name

Finance Contact Phone

Finance Contact Email

Type(s) of Circuit

Wall Circuit

Floor Circuit

Do you require training on how to use the sensory circuit effectively?

Yes

Do you require fitting services for the circuit?

Yes

Please note: fitting costs are subject to an additional charge, which you will have been quoted on separately.

How would you like the school name to appear on your Welcome Sign?

This will be used to personalise the Welcome Sign in your circuit.

Order Summary

Please include any confirmed hex codes for colour customisation of Bespoke orders.

Order Quote Total

Purchase Order Number (if given)

How will this order be sent?

Hand-delivered

By post

Payment upon Invoice

Payment is required within 14 days of the invoice date.

I have read and understood the terms of business.

For any questions you may have, please contact:

Email: Sensorystreet@milestoneeducation.co.uk Tel: 0333 2400 751

Circuit Order Form

Training + Consultancy

Wellbeing

Birmingham

Black Country

Coventry
+ Solihull

Warwickshire

Worcestershire

Oxfordshire

Circuit Order Form

Training + Consultancy

Wellbeing

Birmingham

Black Country

Coventry + Solihull

Warwickshire

Worcestershire

Oxfordshire

Coventry
+ Solihull