Re-evaluate your Life

Venue: BPS Offices, Tabernacle Street, London
Date: Friday 30th November 2012

If you wish to register more than one delegate, please complete the booking form for each person.

Please take care when completing this booking form, all information captured at this stage will be used on all documentation going forward.

This event is in the past

Delegate Details

Please note * denotes a mandatory field

Title:*
First Name:*
Surname:*
Your Position / Job Role:
Organisation Name:
Number of employees in company:
Address:
County:
Country:
Postcode:
Telephone:*
Email Address:*
Business Sector:*
Delegate Ethnicity:*
How did you hear about this event?*
Dietary/Access/Special Requirements:
Additional Information:

Event Options

Select a venue:*
Booking Options:	Delegate Fees DCP Member £25 +VAT £30.00 BPS Member £50 +VAT £60.00 Non-BPS Member £75 +VAT £90.00

Payment Details

Purchase Order Number:
Payment Options: If you prefer to pay by giving your credit card details over the phone please call: 01332 227777	Pay with Paypal Pay with Bacs Invoice Me
Contact name for invoice
Email for invoice
Invoice Address	Click to use details from above
Invoice County
Invoice Country
Invoice Postcode
Invoice Telephone Number
Cancellation Policy:*	Completion of this form is a binding financial contract of payment of the delegate fee. Cancellations must be received in writing by Tuesday 30th October 2012 to receive a refund; however an administration fee of £15+vat will be charged. After this date cancellations cannot be accepted or payment refunded. We are happy to receive substitute delegates in writing at any time. I have read the cancellation policy
Booking Total
Your details will be automatically added to a delegate list. If you do not want your details to appear please tick here.

Re-evaluate your Life

This event is in the past

Delegate Details

Event Options

Delegate Fees

Payment Details

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