MOD Conference Booking Application Form For MOD/armed forces staff only. Please complete this form and fax it back to 020 7904 5702, or scan and e-mail it to penny@integrated-ea.com – if you don’t receive confirmation please call 020 7739 3512. Title (drop down box, click to change): Mr Other: Delegate Full Name (as it should appear on your badge and in the conference agenda): Delegate Full Job Title (as it should appear on your badge): Delegate Organisation (as it should appear on your badge): Delegate Email address: Delegate Telephone number: Invoice address: Delegate attendance: Day 1: Day 2: Drinks Reception on Day 1: Additional requirements – dietary, wheelchair access, induction loop etc: This event is sponsored in order to keep prices down for attendees. In return, sponsors would like to contact you by email after the event. If you DO NOT wish us to pass on your email address to our sponsors, please tick this box. ANONYMITY: Check this box to remove your name from the list of attendees (only your name and company is published, no contact details). I agree to the conference booking terms and conditions (see below). Signed: ----------------------------------------------------- Terms and Conditions: Confirmation of your booking Once we have received a signed booking form by fax or post we will confirm your place by email. Joining instructions (venue details and a location map) will be sent out approximately two weeks prior to the event. Please contact us at info@integrated-ea.com immediately: If you have not received written acknowledgement (e-mail) of your booking within one week of your booking If you have not received your joining instructions five days before the conference. Cancellation Policy MOD funded places are limited and therefore attendees who cannot come must cancel in writing at least two weeks before the start of the conference so that that place can be reallocated. Attendees may be substituted at any time for no additional cost. Cancellation Liability & Changes to Advertised Schedule In the unlikely event of cancellation of the conference for any reason, the liability of Model Futures is limited to the return of the registration fee only. Model Futures will not reimburse delegates for any travel or hotel cancellation fees or penalties. It may be necessary, for reasons beyond the control of Model Futures Ltd., to change the content, timings, speakers, date and venue of the conference. Wherever possible, when there is sufficient notice, we will try to replace advertised presenters with other presenters. Privacy As with most conferences we would like to pass on your contact details to our exhibitors. They sponsor the event and help to keep prices down for attendees, and in return they like to be able to contact you. If you do not wish your details to be passed on, you can select this option at point of sale. We will also distribute an attendee list with names and organisations on it (but no contact details). If you prefer not to be on this list, then please contact us: penny@integrated-ea.com . Additional requirements We would like to ensure that all delegates can participate fully at our events. If you have any additional requirements e.g. wheelchair access, large print documentation or an induction loop or if you have any particular dietary requirements please let us know on the booking form. Certificate of attendance A certificate of attendance is available on request, following your attendance at this conference as a record of your training and development. Please email info@integrated-ea.com Conference content and materials Materials provided as part of the conference are for the purposes of the conference only. While they can be circulated internally, they should not be copied or distributed to any organisation which has not paid for at least one delegate to attend without the express permission of the organisers. Conference programme The conference organiser reserves the right to alter or cancel the programme due to circumstances beyond our control. If the event is cancelled you will be given a full refund. However the organisers will not be liable for any consequential loss to your arising from the cancellation. By filling in and returning this form, you are accepting the terms and conditions listed above