REGISTRATION FORM

EAGALA Europe 3nd Annual Conference
8 - 10 October 2008
Kilmarnock, Near Glasgow, Scotland UK

 

DETAILS (** required fields)

Membership: renewing / joining?

** First Name:

** Last Name:

First Name:

Last Name:

First Name:

Last Name:

First Name:

Last Name:

Use a second registration form if needed for more names.
  Organisation:
   ** Address 01:  
  Address 02:
  Address 03:
  ** Town / City:  
  County / State:
  Zip / Post Code:
  ** Country:  
   ** Phone:  
  Fax:
  Mobile:
  ** E-mail:   (please be accurate - type 'NONE' for no e-mail address)
Network Social
I would like to display marketing / information materials (certification members only) at the Networking Social and duration of conference:

YES:      NO:

  Name of Organisation:

Special Needs
  Special Dietary needs
or Other Considerations:

Transport - to and from Arena

Number of people who need transport to and from the Conference Centre to the Arena on Thursday for the workshops (bus):   

RATES

Per person and include all meals listed in the programme, all workshops, conference materials and CPD / CEU certificate.
(You may enclose membership dues to receive membership rate.)
Description Rate

X number of people

= Total
Early EAGALA Member
before 1 October		 £240

 

 
Late EAGALA Member
1 October & after		 £255

 

 
Early Non-Member
before 1 October		 £260

 

 
Late Non-Member
1 October & after		 £270

 

 
Networking Table
(certified members)		 £20

 
join / renew membership 1 year 2 years  
individual £25 £40

 

 
organisation £70 £135

 

TOTAL

 

If you wish to attend only part of the conference or just meals, please contact us direct for costs.

PAYMENT

By Cheque or Money Order: 

If sending a cheque / money order (UK banks only), please make payable to 'EAGALA' and send by snail-mail with a copy of the registration form to: EAGALA EMEA, Easter Craiglea, Duncanston, Dingwall, Ross-shire, IV7 8JD, Scotland UK. Click on Send button to automatically register by e-mail and book your place(s).
 

By Credit / Debit Card: 

If paying by Credit / Debit Card, click on the Send button which will take you to the Online Payment page to complete payment. This will also automatically register by e-mail and book your place(s).
 

Receipt needed?: 

This will be sent by e-mail if address is provided. otherwise by snail-mail.
 

Invoice needed for organisation payment?: 

 

 If submission of an invoice is required for organisational payment, please provide details (contact name/organisation / address) if different from above and include whether EAGALA bank information is required (BAC / IBAN codes etc.):

Click on Send button to automatically register by e-mail and book your place(s).
 

Refund, Cancellation, Change and Liability:

Refund Policy: Cancellations must be received two weeks prior to the conference for full refund. Thereafter refund minus £50.
Cancellation Policy: In the unlikely event of cancellation of an event, EAGALA will return any fees received in advance. Travel, accommodation and any other costs are not recoverable from EAGALA in the event of cancellation by either party. EAGALA strongly advise participants to take out insurance to cover cancellation.
Change Policy: EAGALA reserves the right to amend or cancel the event. This includes changes to the speakers, content, programme, times and dates.
Limitation of Liability: EAGALA does not accept responsibility for accident, injury or loss suffered while attending this event. EAGALA accepts no responsibility for any loss incurred while using material or information gained at this event. The copyright of all training materials rests with the presenters and EAGALA may not be held responsible for any infringements as a result of plagiarism, libel, slander or any misuse of any material.

Confirmation of your registration and payment will be sent on receipt of this form and payment of the total fee.
Before clicking on the 'Send' button, print off a copy of the registration for your records.

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