Care4Air - South Yorkshire Clean Air Campaign

A Clearer Future Conference 2009

phone 0114 273 4655
email email

A Clearer Future Conference 2010
Wednesday 22nd September
The Hilton Hotel, Sheffield

Delegate Fee: £120 + VAT

Voluntary/Community Sector - A 50% reduction is also available for voluntary and community sector organisations.

To register for your place at the conference please complete the booking form below in full. Confirmation details will be issued via email unless otherwise specified.

Title: (Mr, Mrs, Dr, Prof, etc)
First Name:
Surname:
Position:
Organisation:
Email Address:
Address:
Town:
Post Code:
Telephone Number:
Fax Number:

Payment

I work in the voluntary/ community sector and will be paying the reduced amount of £60.00 + VAT (£69.00)

Method of payment

Please invoice me, quoting the following PO number

(Please supply a purchase order number where applicable and also ensure your address details are completed in full)

I wish to pay by cheque. (Please make cheques payable to diva creative ltd and send to:
diva creative, The Workstation, 15 Paternoster Row, Sheffield, S1 2BX.)

I would like to pay by credit or debit card over the telephone (A member of the diva events team will call you back to take payment. Please ensure your telephone number is provided above)

Please note:

All confirmation details will be sent by email. If you would prefer confirmation details to be posted, please tick here and ensure your address details are completed in full

Please specify any special dietary or access requirements below:


We occasionally release your details to companies sponsoring or exhibiting at our events. If you DO NOT wish to receive information from these companies, please tick this box

Please enter the code above here

 

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