Title
First name *
Last name *
Job title *
Address *
Postcode *
Email *
Telephone *
Organisation name *
Type of organisation Please select Advice organisation: AQS holder Advice organisation: ASA member network organisation (Law Centres Network, Citizens Advice, Age UK, Shelter, Shelter Cymru, Youth Access, Macmillan Cancer Support) Advice organisation: other Other voluntary organisation Local authority / registered social landlord University Public sector advice organisation Other (please specify below) *
If other, please give details
Specific dietary requirements, eg vegetarian, vegan, gluten free, allergies (if applicable please give details)
Other needs eg access (if applicable please give details)
Photographs will be taken during the conference and may be included in future ASA publicity material. Please indicate below whether you consent to being photographed for this purpose.
I consent to being photographed/and or filmed during this event Yes No *
Please tick appropriate box
2-day conference 15-16 December: AQS holder advice organisation / ASA network member advice organisation £210.00 + £42.00 VAT = £252.00
2-day conference 15-16 December: Other organisations £260.00 + £52.00 VAT = £312.00
An invoice for your registration fee will be sent with confirmation of your booking, including methods of payment.
Please give details of the invoice address:
Send invoice to contact details above
Send invoiceto the address below
Name
Organisation
Address for invoice
Email
Telephone
Purchase order number (please include if required for payment)
Message (optional)
A 20% administration charge will be applicable for cancellations notified in writing before 2 December 2020 and after that date the registration fee must be paid in full. Substitutions may be notified in writing at any time at no charge.
I understand that cancellations must be confirmed in writing and acknowledged by the conference administrators or I will remain liable for the full registration fee. *
Please tick box when you are ready to submit your details *
Thank you for completing the registration form for this event.
A confirmation email will be sent to you when we have processed the information.
Professional Briefings 1 St Mary's Courtyard Church Street WareHertfordshire SG12 9EFTelephone: 01920 487672Email: bookings@profbriefings.co.uk