BOOKING FORM

FStech/Retail Systems Payments Conference, 10 November 2011

Please enter delegate details below:

Name
Job title
Company
Address


Zip/postcode
Email address
Telephone
Fax
Dietary requirements

How did you hear about this event? (please select as many categories as required)
	Leaflet in the post
	Email from organiser
	Friend/colleague
	Advert in the magazine
	Internet/website
	Other
Please specify

I would like to book a free place for the conference
	I am a retailer
	I am a financial institution
	I am a consultant

If you are not a retailer or financial institution please tick the box below. You will then be taken to a secure payment site. Price (£199.00 +VAT per person)
	I am not a retailer or financial institution.

TERMS & CONDITIONS Delegate places are subject to approval. We reserve the right to alter or cancel the programme due to circumstances beyond our control. All cancellations for non-retailers or financial institutions must be made in writing to the event organisers and are subject to the following surcharges: more than 28 days notice 50% of total, less than 28 days notice 100% of total. All cancellations for free places must be made in writing to the event organisers and are subject to the following surcharges: £99 administration fee if we are not informed of your non-attendance at least 28 days before the event. Please accept our terms and conditions by clicking the submit button below