Before completing this form please read conference booking details
Full name: (Mr/Mrs/Ms)
Name to appear on badge:
Job Title:
Company:
Address:
Postal code or zip code:
Country:
Telephone:
Fax:
E-mail:
Delegate fee is €900 (£620) per person. Discounts are available for 3 of more delegates attending from the same company and paying the full standard fee.
Will you be attending the drinks reception on the 28th of May 2008?
Yes No
Please supply the name of your Accounts Department Contact
(Full name):
Accounts Department
telephone number:
Invoice address:
VAT number (EU countries only):
Purchase order number:

Payment method - Please tick one of the three options below:
(a VAT invoice receipt will be issued at the time of the conference)

By invoice - Please send me an invoice
By cheque- Please make payable to Canadean Limited
By credit card (American Express/Mastercard/Visa)
If by credit card, as this is not a secure site, please call the number below with the following credit card details: Cardholder name and initials, Card number, Expiry date, Cardholder's billing address (if different from address above), Card security code, and Name of bank issuing card. PLEASE CALL +44 (0)1256 394236 (during UK office hours)
I understand that this form is confirmation of my booking and agree to abide by the booking conditions set out in the conference booking details
Please tell us where you heard about this conference:
Please indicate the nature of your business: