Agency Initial Sign Up Form

Thank you for signing up to a agency membership package with Connex Academy. We are delighted to support you and your colleagues with your development.

Let’s get started! We will sign you up immediately.

To enable us to set up logins for your colleagues we will need to send you a form to capture their details.

Please can you complete this form to enable us to send this to you.

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Spread the cost

If you would like to spread the cost of your course over six months, you can do so easily through interest free direct debit payments.

We will then contact you to make the first payment upfront and once paid you will be able to begin your course and we will send you a Gocardless link to complete a direct debit mandate for future payments.

Feel free to ask us any questions about the course before proceeding with payment.


Please note we do not need to perform any credit checks and you will only receive your certificate once the balance is paid.