Event Registration Form
Please complete a separate booking if you are applying for more than one event or if there is more than one delegate.
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Event Details
Event:
-- Select --
Please select an event.
Date:
-- Select --
Please select an Event to see avaialble dates.
Please select a date.
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Personal Details
Title:
--Select--
Mr
Mrs
Miss
Ms
Dr
Prof
Rev
NA
Please select a title.
Forenames:
Please specify a Forename.
Surname:
Please specify a Surname.
Email:
Please enter a valid email address.
Phone:
Please enter a phone number
Job Title:
Please enter a Job Title
Organisation:
Please enter the name of your employer
Address:
Please enter an address.
Please enter a post code.
I have special access, communication or dietary requirement
How did you hear about us?
1 - Electronic Prospectus
2 - Email
3 - Poster
4 - Website
5 - Word of mouth
6 - Other, Please State
Please tell us how you heard about us.
If Other please Specify
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Payment Details
This section must be completed for all bookings including fully funded places
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Cancellations within 7 days will attract an administration fee of £15.
×
Cancellation on the day of the course will attract the full course fee.
Non-attendance on the day will attract the full course fee (however named substitutes may be made).
*For fully funded places, you will only be invoiced in the circumstances detailed above. All cancellations must be received in writing or via email.
Forenames:
Please specify a Forename.
Surname:
Please specify a Surname.
Email:
Please enter a valid email address.
Phone:
Please enter a phone number
Job Title:
Please enter a Job Title
Address:
Please enter an address.
Please enter a post code.
Use Above Address?
Purchase Order Number
(If Applicable)
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Consent
I confirm that I have read and understand the cancellation and non- attendance terms and conditions listed above
Please accept the terms and conditions.
EoLP does not pass personal data to any other organisation, but may wish to keep you informed of educational news, activities and future courses etc. If you
wish
to receive this information, please accept here.
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If you have any queries about the data we hold or wish to have your data removed/anonymised please contact us at
Info@eolp.org.uk
with the details of your query.
Please correct the errors in your booking
Submit Booking Request