DELEGATE BOOKING FORM Event: Date: Location: Contact: 1. Electrical Product Safety Conference 2014 Wednesday 12th November 2014 Church House, Deans Yard, Westminster, London, SW1P 3NZ Oliver Monty - tel: 020 3463 5128 email: oliver.monty@electricalsafetyfirst.org.uk Registration Details (For multiple bookings, please use additional delegate sheet attached) a. Delegate: Name Job Title Organisation Address Postcode Telephone Email Where did you hear about the conference? __________________________________________________ b. Main Contact (if different from above) Name Telephone Email 2. Booking Details Delegates - £75 excluding VAT (£90 including VAT) Quantity Total cost (including VAT) £ Booking fee includes all conference sessions, access to exhibition, refreshments and lunch on the date of the conference. 3. Payment Options In order to secure your booking, you must return the booking form and purchase order details (if applicable) directly to us. Purchase Order Purchase order no. 1 An invoice will then be raised and issued to the main contact. Once the invoice has been received, payment can be made in one of three ways. Please the box of your preferred method of payment. a. Cheque Please ensure a cheque is returned for the full amount made payable to ‘Electrical Safety First’ at: Electrical Safety First Unit 331-3 Metal Box Factory 30 Great Guildford Street London SE1 0HS 4. b. BACs Once you have received the invoice, please ensure that a BACs payment is set up in accordance with the bank details provided and payment terms. Where possible, please send confirmation of the payment date. This will ensure a swift booking confirmation. c. Credit/Debit Card Please contact Oliver Monty to provide card details on 020 3463 5128. Terms and Conditions: Return of this booking form constitutes a legally binding agreement. a. Booking and Payment Payment must be received in full within 28 days of invoice date and is non-refundable. Payment in full must be received before attendance at the conference. Confirmation of booking will be issued after payment is received. Bookings are only confirmed on receipt of payment, not receipt of booking form. It may be necessary, for reasons beyond our control, to alter the contents, speakers, timings or venue of this event. b. Cancellations & Non-Attendance Fees are non-refundable. Should you not be able to attend, you may nominate a representative to attend on your behalf. Please advise us immediately if you wish to transfer your place. c. Late Bookings/Payments Please contact Oliver Monty to discuss options. d. Force Majeure Electrical Safety First does not accept any liability resulting from causes beyond its reasonable control including, but not limited to, transport disruptions, individual transport delays, fires, insurrection or riots, embargoes, interruption of power supplies, disruption to the supply of computer hardware or software, communication loss or failure, compliance with any applicable legislation or regulations of any civil or military authority. e. Additional Requirements If you have any additional needs, e.g. wheelchair access, large print, etc. please inform us no later than one month prior to the event. f. Data Protection In accordance with the Data Protection Act 1998, the information provided will be used by Electrical Safety First for administrative purposes only and retained on a database. We may contact you to let you know about Electrical Safety First’s future campaigns, conferences and other activities. If you do not wish us to send you additional information, please tick the box 2 ADDITIONAL DELEGATE BOOKING FORM Event: Date: Location: Contact: Electrical Product Safety Conference 2014 Wednesday 12th November 2014 Church House, Deans Yard, Westminster, London, SW1P 3NZ Oliver Monty - tel: 020 3463 5128 email: oliver.monty@electricalsafetyfirst.org.uk Lead Name Delegate: Name Organisation Email Additional Delegates: Names Job Titles Telephone Email Electrical Safety First is the campaigning name of the Electrical Safety Council. The Electrical Safety Council is registered in England as a Company Limited by Guarantee with the number 570175. The Council is Registered as a Charity with the number 257376 (England and Wales) and SCO3999 (Scotland). Registered Office: Unit 331-3 Metal Box Factory, 30 Great Guildford Street, London, SE1 0HS