NEW VENUE! The NEC, Birmingham, 16 February 2012

Booking Form

Name of service user delegate(s)


Name of drug and alcohol professional(s) and job title(s)

Booking contact (person completing form on behalf of delegate(s)) We will use this person's email to send information regarding changes to the conference programme and venue. We will also post out name badges for the delegates prior to the event, to this postal address.

Title
First name
Surname
Organisation (if applicable)

Address Line 1
Address Line 2
Address Line 3
Town/City
Postcode
Telephone
Fax
E-mail

Delegate Rate	Early bird delegate rate: £135 + Vat for professionals or £80 + Vat for service users. There will be an additional £10 per person charge for all places booked after 31 December 2011. Please send an invoice for:

Invoice contact (person responsible for payment of invoices, if different from above)

Title
First name
Surname

Invoice Address (if different from above)

Address Line 1
Address Line 2
Address Line 3
Town/City
Postcode

Telephone
Fax
E-mail

Order number (must be supplied by public sector organisations)



Terms & Conditions

	TERMS AND CONDITIONS This booking form constitutes a legally binding agreement. Payment should be made in full prior to the event. Registration confirmation and other details will be forwarded on receipt of payment. Cancellation policy: Cancellations can be accepted only if received in writing not later than 4 weeks before the event. This will incur a £50 charge for administrative costs. No refund can be made after that date, however substitutions will be accepted if written notification is received prior to the event. Data protection policy: The personal information provided by you will be held on the database of CJ Wellings Ltd. The information will not be provided to third parties. NB: The organisers reserve the right to substitute speakers/presentations if necessary.

	If you would like to be informed of future events, please tick:

	By proceeding with this booking you agree that you have read and agree with the terms and conditions above.

Organised by Drink and Drugs News and The Alliance