Friday 26th March 2010
Hilton Hotel, Leicester (near Junction 21 of M1)
10.00am – 4.00pm (registration from 9.15am)

Booking Form

 
name
job title
organisation
address
city
postcode
telephone
fax
email
do you have any special requirements?
(please tick)
  photography
braille

Photographs will be taken during the event
and may be used in future publications and on websites.

please tick if you do not want your picture taking

hearing loop
wheel chair access
sign language interpreter
transport assistance is there anything else we should know
so that you can come?
electronically sent information
large print
14pt 16pt 18pt 20pt how would you prefer to be contacted?
(please specify)

dietary requirements (please specify)

telephone fax
email post
will you be bringing anyone along to support you? (e.g. personal assistant / guide dog / support dog) do you agree to your details being placed on a delegates list which will be circulated?
no yes (please specify)
no yes