*Indicates a required field.

Your Details:

Dr
Mr
Mrs
Ms

*First Name:


*Surname:


Job Title:

Department:

2nd Delegate Name:

3rd Delegate Name:

4th Delegate Name (Free):


*Organisation:


*Address:


*Postcode:


*Tel:

Fax:


*Email:

Dietary requirements:

*Event fee:
4 for 3. Book 3 places receive a 4th place free of charge.
Also book before 24th August 2007 and receive a £50 discount per delegate.

Enter number of people:

£395 + VAT (£464.13) NHS and Independent Healthcare

£295 + VAT (£346.63) Charity and Voluntary Sector

£495 + VAT (£581.63) Private Sector

Conference handbook:
I cannot attend the conference but would like a copy of the conference handbook, and presentation slides.

£89 + VAT (£104.58)

*Payment method:

Cheque (Please send cheque by post. See Contact)
Credit card (HCC will contact you within 5-7 working days)
BACS
Invoice, please provide invoice details:
 
Invoice name:


Invoice address:


Invoice postcode: