Norfolk Study Day - 9 October 2007 - Reservation Form

Thank you for deciding to come to the Norfolk Study Day on 9 October 2007.
Please enter your details below and confirmation will be sent to you.

Your Details

Title

 
Forename
Surname
Preferred badge name
Telephone
Mobile
Email Address
Job Title
Organisation
Address
Any Special Requirements

Vegetarian    Access requirements  

Vegan             Other (Please Specify)
NORMIT Member

Yes  - £80 per delegate
. ...(one NORMIT delegate will not be charged)

No   - £99 per delegate
Payment Details
Please send payment by cheque or request an invoice.

Request invoice

Yes      No
Purchase Order Number
Invoice address if different to above (include contact Name)
Cheque to follow by post

 

Yes      No     

Please make cheque payable to Norfolk County Council and send to Emergency Planning Unit, County Hall, Martineau Lane, Norwich, NR1 2DH
Additional Comments