Booking Form Template - Electrical Safety First

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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
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