KC Jones » Booking Form

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.

If you require any assistance while completing this booking form please call the event hotline on 01332 227773.

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

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 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 23rd 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.

Select a venue:*
Workshops/Seminars:	Half Day Attendee - AM Session Only Half Day Attendee - PM Session Only
Booking Options:	Full Day Attendance Delegate Fee Early Bird rates were available for bookings made by 21st October. Bookings made are now charged at the full rate. DoN Member £125.00+VAT £150.00 BPS Member £150.00+VAT £180.00 Trainee/Assistant/student BPS Member £83.33+VAT £100.00 Non BPS/DoN Member £191.67+VAT £230.00 Half Day Attendance Fee with Lunch If you are registering as a half day attendee please select whether you will be attending for the morning or afternoon session above in addition to the price option below. DoN Member £87.50+VAT £105.00 BPS Member £105.00+VAT £126.00 Trainee/Assistant/student BPS Member £58.33+VAT £70.00 Non-BPS/DoN Member £134.17+VAT £161.00 Half Day Attendance Fee without Lunch If you are registering as a half day attendee please select whether you will be attending for the morning or afternoon session above in addition to the price option below. DoN Member £75.00+VAT £90.00 BPS Member £90.00+VAT £108.00 Trainee/Assistant/student BPS Member £50.00+VAT £60.00 Non-BPS/DoN Member £115.00+VAT £138.00

The Rise and Fall of Cognition Across the Lifespan

This event is in the past

Delegate Details

Event Options

Full Day Attendance Delegate Fee

Half Day Attendance Fee with Lunch

Half Day Attendance Fee without Lunch

Payment Details

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