Booking form CIPS Uganda member event Monday 14 February 2011 Registration opens at 14.00 hours Please return this form by 21 January 2011 CIPS Membership No: Full name Full address Organisation name Organisation address Email address Contact telephone number – preferably mobile number To help us to plan and cater for the correct amount of delegates please confirm your attendance at each stage of the event. I would like to attend the conference I would like to be presented with an award at the ceremony I am not eligible for an award but would like to attend the ceremony I would like to attend the AGM Yes / No (please circle) Yes / No (please circle) Yes / No (please circle) Yes / No (please circle) When you have completed the booking form please return by fax back to the UK office on +44 (0) 845 880 1187 OR email crc@cips.org OR phone +44 (0) 845 880 1188 *Programme and timings are subject to change without prior notice to delegates