DELEGATE REGISTRATION FORM

Please note that a separate registration form must be completed for each delegate attending the event.

If you have any queries relating to your booking, please contact Whitehall Media Registrations Office, 2 Abito, 85 Greengate, Manchester, M3 7NA. Telephone: 0161 214 5207.

Alternatively, for booking enquiries, contact us at registrations@whitehallmedia.co.uk

(*) are required fields.

Delegate Details

Title: (*)

First Name: (*)

Last Name: (*)

Position: (*)

Organisation: (*)

Address Line 1: (*)

Address Line 2:

City: (*)

County:

Postcode: (*)

Telephone No: (*)

Fax No:

Email Address: (*)

Invoice Address ( If different to above)

Contact:

Department:

Organisation:

Address Line 1:

Address Line 2:

City:

County:

Postcode:

Purchase Order No:

Please note that some organisations will not accept invoices without a purchase order number - please check with your procurement department before placing a booking

Requirements

If you have any special dietary requirements please detail them below

Dietary Requirements:

Please detail any other special requirements: e.g. disabled access, hearing loop, medical needs:

Other:

Conference Package

Please make your choice: (*)

Public Sector Delegate - £175 +VAT (£201.25)

Private Sector Delegate - £1,500 +VAT (£1725.00)

Cancellation Policy

Agreeing to the terms and conditions confirms that you will be subject to invoicing for the total payment amount based on your indicated options above.

Agreeing to the terms and conditions means that you will be fully subject to the cancellation policy, and the total invoice amount will remain payable, even if you cancel your place before paying your fees.

Substitutions may be made at no extra charge. Full cancellation fees apply once your registration has been confirmed. Alternatively you may choose a credit note for the full value of the registration fee, which may be put towards another Whitehall Media event.

Whitehall Media reserves the right to alter the programme without notice.

I have read and agree with the above
Cancellation Policy. (*)

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