Booking Form

17th European Biosolids & Organic Resources Conference & Exhibition BOOKING FORM DELEGATE DETAILS COMPANY NAME: Title: Name: Position: Address: Phone: Email: ADDITIONAL DELEGATES Name: Email: Job Title: Phone Name: Email: Job Title: Phone Name: Email: Job Title: Phone DELEGATE FEES Three Days VAT@20% Fee inc. VAT No. TOTAL FULL DELEGATE £590 £118 £708.00 AUTHOR £490 £98 £588.00 STUDENT/ACADEMICS & CHARITIES £290 £58 £348.00 ONE DAY: (please circle which day) 19th, 20th or 21st November 2012 ONE DAY DELEGATE £290 £58 £348.00 ONE DAY AUTHOR £290 £58 £348.00 ONE DAY STUDENTS, ACADEMICS & CHARITIES £100 £20 £120.00 COMPANY PASS (3 persons can attend one day each, please fill name and day above) £690 CONFERENCE DINNER £50 £10 £60.00 TOTAL Signature …………………………………………………………………………………………………………………………….. Date ……………………………………. METHOD OF PAYMENT Cheque: Payable to AE Technology Transfer (A VAT Receipt will be sent automatically). Invoice: Please invoice for the sum of £……………… Purchase order number ……………………………………. Accounts Contact Name Address for Invoice/ receipt: Email: Phone: Credit / Debit card: Card type e.g Card Number Name on 17th European Biosolids & Organic Resources Conference & Exhibition BOOKING FORM Visa card Registered address (if different to above) Expiry Date Issue Number ( for Switch) Security Number (Last 3 digits on reverse TERMS AND CONDITIONS: A charge of £50 will be levied for cancellations made up to 20 days prior to the event. Cancellations after this period will be liable for payment of the full fee. Payments should be received 30 days from receipt of the invoice. PLEASE SEND ENQUIRIES AND BOOKING FORMS TO: Aqua Enviro Technology Transfer, 8 Appleton Court, Calder Park, Wakefield, WF2 7AR Email: clarehunter@aquaenviro.co.uk, Web: www.aquaenviro.co.uk