Registration form

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Registration form


Are you / is your firm a member of the BVCA?		Yes	No	Don't Know
How many delegate places do you wish to purchase?
Have you booked for Northwest Regional Dinner?		Yes	No

Booker's Name
Title
Organisation
Tel no
E-mail
Invoicing postal address

Attendees (if known at this time)

1)	Name		2)	Name
	Job title			Job title
	Organisation			Organisation
	E-mail			E-mail

3)	Name		4)	Name
	Job title			Job title
	Organisation			Organisation
	E-mail			E-mail

5)	Name		6)	Name
	Job title			Job title
	Organisation			Organisation
	E-mail			E-mail

If you are registering more than six delegates, please use the comment box below to inform us of the additional delegates' details

I agree to be invoiced for this booking (mandatory box)
Your own booking reference (this will appear on your invoice and payment confirmation)

Comments

Please tick this box to confirm you have read our terms and conditions. (mandatory box) Terms and conditions: Cancellations received on or before one calendar month before this conference will be refunded in full. Cancellations received less than one calendar month before this conference or non-attendance will be charged at full rate. Alternatively, if you are unable to attend you may wish to send a substitute delegate at no additional cost. Please let us know immediately of any changes. All cancellations and transfers must be received in writing.

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