The catalyst for partnership in learning and skills

Application Form

Event Title: PA Network
Date: Wednesday, October 06, 2010
Location: EMFEC, Robins Wood House Conference Centre, Robins Wood Road, Aspley, Nottingham, NG8 3NH.

Title
First name
Surname
Job title/designation
Organisation
Correspondence address
Postcode
Telephone
Mobile
E-mail
Dietary & Access requirements	Vegetarian Vegan Gluten free Nut allergy Visually impaired Wheelchair access Other (please specify below)
Other requirements
How did you hear about this event?
Contact name for invoice
Purchase order number
Cost for members: Ł45.00 Cost for non-members: Ł45.00
I agree that EMFEC will hold and process the data I have supplied for the purposes described below.
I agree
Information on this registration form is confidential and will be held on EMFEC's database in accordance with the Data Protection Act 1998. It will be used for EMFEC purposes only.
Completion and return of this application form constitutes a contract between yourselves and EMFEC. Cancellations (to be made in writing) less than 7 days prior to the event will be charged at FULL cost. EMFEC reserves the right to cancel or alter the course for reasons beyond its control. EMFEC regrets that not all our rooms are wheelchair accessible, and therefore asks that customers inform us of any specific access requirements.
I agree
Joining instructions, including a venue map, will be sent to you (either via post or e-mail) approximately one week before the event. If you do not receive these, please telephone Michelle Chesterfield.
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