envecon 2010 Registration

Registration Form

Instructions
 
Below you will find the registration form for multiple delegates.
 
If you are registering delegates but will not attend the conference yourself, please fill in both sections of the form.
 
If you are a delegate and would like to register other delegates as well, please fill in your details in the DELEGATE section and repeat your details in the CONTACT section.
 
In any case, do not forget to fill in the fields marked with *.
 
If you have any queries regarding registering multiple delegates please contact Olga Anderson via olga@eftec.co.uk.
 
 
Section I. Details of the DELEGATES
 
 
FIRST delegate
 
First Name*
Last Name*
Job Title
Organisation
Email*
Specific dietary requirements
 
Conference fee for the first delegate*
Standard£160
Student£75
 
 
SECOND delegate
 
First Name*
Last Name*
Job Title
Organisation
Email*
Specific dietary requirements
 
Conference fee for the second delegate*
Standard£160
Student£75
 
 
THIRD delegate
 
First Name
Last Name
Job Title
Organisation
Email
Specific dietary requirements
 
Conference fee for the third delegate
Standard£140 (reduced)
Student£75
 
 
FOURTH delegate
 
First Name
Last Name
Job Title
Organisation
Email
Specific dietary requirements
 
Conference fee for the fourth delegate
Standard£140 (reduced)
Student£75
 
 
FIFTH delegate
 
First Name
Last Name
Job Title
Organisation
Email
Specific dietary requirements
 
Conference fee for the fifth delegate
Standard£140 (reduced)
Student£75
 
 
 
 
 
Section II. Details of the CONTACT person
 
First Name*
Last Name*
Organisation
Postal Address*
Post Code*
Country*
Email*
Tel.*
Write ‘PO’ here if you need to send us a purchase order and/or ‘INVOICE’ if you require an invoice
 
 
 
Payment Method*Cheque
 Bank transfer
 Credit card (PayPal)
 
 
 

 

 

 
©eftec 2010