Programme and timings are subject to change without prior

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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
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