Booking Form First Name: ...................................... Company / Organisation: Surname: ....................................................... ……...................................................................................... Contact Address: ………................................................................................................ City: ....................................................... Postcode: ....................................................... Contact Tel: ........................................... Mobile: ........................................................... Email: ............................................................................................................................. Conference Booking Fees ☐ £55.00 Day Delegate ☐ £30.00 Discounted Student rate ☐ FREE Ex-service personnel (Limited 20 places - First 20 applications only) Workshops Choice (Choose One Only) ☐ Specialist Veteran Treatment Courts ☐ Veteran Rehabilitation Services - A Strategy for the UK ☐ Education, Training and Employment for Veterans in the CJS Dietary / Disability requirements Please return completed booking forms to Susan Cortese at Tottenham Hotspur Foundation via email: susan.cortese@tottenhamhotspur.com Make cheques payable to: Tottenham Hotspur Foundation Tottenham Hotspur Football Club, Bill Nicholson Way, 748 High Road, Tottenham, London N17 0AP Card payments should be made via your bank account on-line using the delegate or sponsoring organisations bank account ‘Create a new payment facility’. Please use ‘Veterns Conference’ as your payment reference for BACS Payment: HSBC 40-05-20 Account No: 81524046 For booking info contact: Susan Cortese - Tel: 02083655051 A percentage of the registration fee will be allocated to a Trust Fund to help the development of Veteran Treatment Service pilots