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Landscapes for Life Conference 2017 – Registration

Use the form below to register for Conference 2017

Please ensure you have all the information you need before completing this form. Fields marked with * are mandatory. Any amendments or additions (including missing information e.g. PO numbers, emergency contact details, replacements etc.) to existing bookings will incur an administration charge of £25.00. All changes must be made in writing to [email protected]

Salutation:

First Name*:

Last Name*:

AONB/Organisation*:
- Please enter 'none' if you are attending as an individual

Job title*:

Address*:

Postcode*:

Telephone*:

Email*:

Membership

Are you an NAAONB member?
 Yes No

Do Different Briefing Sessions
Please choose your choice of sessions the list below.
If a session is fully booked it will no longer appear in the list
Morning session – 19th July

Afternoon session - 19th July
If you chose the session3 EA or session 4 Wildlife Trusts morning sessions selection you will not be able to choose a different afternoon session as these take you off site for both the morning and afternoon sessions. Please indicate this in the selection list below.

Conference Packages

Please choose which package option you require:
 Non-residential Day only

If in the above answer, you selected Day Only, please select which day you require:

 Tuesday 18th Wednesday 19th

Please choose if you require pre-Conference accommodation and breakfast
 No

Purchase order no*:
If you need to raise a purchase order, please put your number here. Please be aware that if you need a PO number and choose to forward one later, the amendment fee will be incurred.

Please enter 'none' if you do not require a purchase order reference.

Invoice address (if different from above):
Address:

Postcode:

Emergency contact details

Emergency contact name*:

Relation*:

Emergency contact telephone number*:

Emergency contact mobile number:

Dietary Requirements:

Access Requirements:

Other:

Security:
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