The 10th IDER Conference Registration Form (PDF 212 KB)

Name Job Title Company/Organisation * Code Price €/£Number in Group: Discount: %Networking Dinner tickets - Tuesday 20th October at €70/£58.33 per person - included in FULL Government rate No:No:Total €/£==== FAX TO: +44 1985 846163Please fill in the “Code” for type of ticket required*:Full = 2 days of the conference, Tue = Conference on Tuesday 20th, Wed = Conference on Wednesday 21st. Please put against “Code”:“G” (i.e. Full - G) for the GOVERNMENT RATE, which is only applicable to government employees (international, national and local; emergency, fire, medical, police & military services), full-time university academics & students and employees of registered charities.“A” for MSB/IAEM/ICPEM/ETSA members rate (i.e. Full - A ).Name: Job Title: Company:........................................................................................................ .................................................................... .........................................................................................Address:............................................................................................................................................................................................................................................................................. City: Postcode: Country:................................................. .................................................. .................................................................... .........................................................................................Tel: Fax: E-mail:...................................................................................... .................................................................... ...........................................................................................................Credit card billing address (if different from above):..........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................Card Number Expiry dateSignature: Date:.................................................................................................................................................................................. ...................................................................................Data Protection Personal Data supplied is subject to the Data Protection Act 1998. This data may be used to supply you with information relevant to your business. IDER Ltd, runs the IDER event. If you do not wish to receive information about future IDERs, please tick here . If you do not wish to receive information about other related IDER events/activities, please tick here . If you do not wish to receive any information from other companies approved by us, please tick here . Please tick if you prefer not to be contacted by any of the following: Mail , Phone , Fax , E-mail . Lorna Katon or Richard Curtis on + 44 1985 846181 if you have any questions: IDER Limited, 10 Sambourne Road, Warminster, Wiltshire BA12 8LJ, UK • : +44 1985 846163You can register by phone on: +44 1985 846181 online: www.iderweb.org or by e-mail ider@andrich.comwww. iderweb.orgYou can register and pay through our secure website:20% charge for cancellations before 1st Sept 2009. No refunds after 1st Sept 2009, although delegate’s name may be changedPayment method:•Cheques in £ Sterling or € Euros - please do not send cheques drawn on non-UK banks. •Bank Transfer •VISA •MasterCard/Eurocard •American Express - Please note that the Credit Cards will be charged in £ Sterling.Bank Transfer: Barclays Bank plc, Warminster: £Sterling Bank Sort Code: 20.05.06 Account Number: 03146359 IBAN: GB46 BARC 2005 0603 1463 59 SWIFTBIC: BARC GB22€Euros Bank Sort Code: 20.05.06 Account Number: 76407111 IBAN: GB38 BARC 2005 0676 4071 11 SWIFTBIC: BARC GB2210% Discountbefore1st October 2009IDER 2009Conference PricesMSB/IAEM/ICPEM/ETSA members rateBEFORE 1st October 09 AFTER 1st October 09 BEFORE 1st October 09 AFTER 1st October 09Full €450.00 £375.00 €500.00 £416.67 €400.00 £333.33 €450.00 £375.00Full - Government €360.00 £300.00 €400.00 £333.33 €320.00 £266.67 €360.00 £300.00Day €270.00 £225.00 €300.00 £250.00 €240.00 £200.00 €270.00 £225.00Day - Government €216.00 £180.00 €240.00 £200.00 €192.00 £160.00 €216.00 £180.00Networking Dinner - Elite Stadshotellet, Tuesday 20th October at €70/£58.33 per person Conference Registration FormGroup Discounts - For conference tickets only• 10% off total for 3 or 4 delegates from the same organisation • 20% off total for 5 or more delegates from the same organisationTerms & Conditions: 1. All delegates must be employees of the company/organisation. 2. The reductions are for conference fees only and do not include extra Networking Evening tickets 3. Reductions will only be given if delegates register at the same time. 4. There will be no refunds, but delegates' names can be changed.FULL Conference Delegate Rate includes lunches and breaks on both days. Also includes Networking Dinner for those on GOVERNMENT RATE.DAY Conference Delegate Rate includes lunch and breaks on that day. GOVERNMENT - there are concessionary government rates (see below).MSB/IAEM/ICPEM/ETSA - there are concessionary rates for theses organisations/associations (see below).IDER 2009 Conference - To pre-register, please complete in block letters and return this form with payment.For more delegates use a continuation sheet. Conference delegates are requested to collect their badges from IDER 2009 registration desk at the Värmlands Museum.