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Agenda, speakers & themes

Delegates booking form

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You are in: Road Safety GB National Conference 2012

Booking form - delegates

Delegate details

Title*
First name*		Surname*
Position*		Organisation*
Email*		Tel*
Mobile
Address*
County*		Postcode*

Please send invoice to the address above

Please provide an order number for invoicing *

(Bookings cannot be confirmed without an order number)

*Please note: Purchase orders need to be raised to Stennik, The Thatched Barn, Low Road, Wortham, Diss, Norfolk IP22 1SH.

Contact details for invoice (if different to above)

Title		First name
Surname
Position		Organisation
Email		Tel
Address
County		Postcode

Payment

Please tell us which financial year you would like to receive your invoice:

2011/12

2012/13

Road Safety GB Members

'Early bird' full/residential delegate fee £175 plus VAT (subject to availability)
Full/residential delegate fee £295 plus VAT
Day delegate fee (for both days) £125 plus VAT
Day delegate fee (for single day) £85 plus VAT	(Day 1) (Day 2)

Other delegates - commercial organisations

Full/residential delegate fee £395 plus VAT
Day delegate fee (for both days) £195 plus VAT
Day delegate fee (for single day) £145 plus VAT	(Day 1) (Day 2)

Other delegates - charities and non-profit organisations

Full/residential delegate fee £295 plus VAT
Day delegate fee (for both days) £125 plus VAT
Day delegate fee (for single day) £85 plus VAT	(Day 1) (Day 2)

Any special dietary requirements

Cancellation
All cancellations are subject to a 20% administration fee. Cancellation is accepted up to Monday 24 September.

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Quick links

2010 conference

2009 conference

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Quick links

2010 conference

2009 conference

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