Booking Form

Fill in the Registration Form below and fax back to: 020 8652 3482

 

Registration Form
Please complete clearly in BLOCK CAPITALS or type.
Use photocopied forms for second or subsequent delegates
\* Please give your details, as you would like them to appear on your conference badge

 

*Title (Mr/Ms/Dr. etc.) *First Name
_________________________________________________________________________________________________

 

*Family Name
_________________________________________________________________________________________________

 

*Company
_________________________________________________________________________________________________

 

*Position in Company
_________________________________________________________________________________________________

 

Address
_________________________________________________________________________________________________

 

Post Code
_________________________________________________________________________________________________

 

Tel Fax E-mail
_________________________________________________________________________________________________

 

Special requirements (e.g. diet)
_________________________________________________________________________________________________

 

Special needs in using the venue facilities
_________________________________________________________________________________________________

 

Date and venue 16th November 2001, The Dorchester, London

 

Delegate fee □ Early booking rate (before 15 June 2001) £249.00 + VAT @ 17.5% (43.58) Total fee: £292.58
□ Standard booking rate (after 15 June 2001) £295.00 + VAT @ 17.5% (51.63) Total fee: £346.63

 

Conference fees include: Admission to the conference - Documentation for all sessions when supplied by speakers - Refreshments and lunch.

 

Cancellation details: You are welcome to make a substitute at any time. Otherwise a service charge of 25% will be made if you cancel before 16 October 2001. Thereafter, no refunds are possible.

 

Payment Method: Please tick your preferred method of payment

 

□ Cheque payable in £ to Reed Business Information
□ Credit Card □ Visa □ MasterCard □ Amex □ Diners

 

Card number Card expiry date
_________________________________________________________________________________________________

 

Signature
_________________________________________________________________________________________________

 

□

 

Direct bank transfer in £ (payable on receipt of invoice and bank details)
□ Please invoice my company
□ Data Protection: Please click this box if you do not wish to receive other relevant direct mail offers.

 

PLEASE COMPLETE AND SEND TO:
Teresa Cole, Reed Business Information, The Quadrant, Quadrant House, Sutton, Surrey, SM2 5AS
Registration Hotline Tel: 020 8652 3887 Registration Hotline Fax: 020 8652 3482