EmailMeForm
Export Clinic: Booking Form
To reserve your place, please complete the form below:
Please reserve me a
place(s) on the following event:
*
9 March 2016 - Pace Ltd, Saltaire
6 July 2016 - Addleshaw Goddard, Leeds
Guest Name
*
First
Last
Position in Company:
*
Additional Guest Name 2
First
Last
Position in Company:
Additional Guest Name 3
First
Last
Position in Company:
Company Name
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Telehone Number
*
Email
*
The cost of the event is:
£160 + VAT Members
£190 + VAT Non-Members
*
Please invoice me at the address above
Please contact me to pay by Credit/Debit card
Please invoice me at an alternative address (please supply)
Please send me a quotation
Dietary requirements:
Any other comments:
Image consent
We occasionally take photographs at events. Kindly tick this box to give permission for your image to be used in future marketing materials on these occasions.
How did you hear about the event?
*
Twitter
LinkedIn
Facebook
Search engine (e.g. Google)
Eflash / newsletter
Other
Click here to see our booking terms and conditions