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BOOKING FORM


ECMOD Direct Commerce Conference 30th November & 1st December 2011, Business Design Centre, London, UK


ECMOD Direct Commerce Conference Rates (per person per day) include lunch and all refreshments. õ Standard


£295 net


õ CatEx DCA Members (-30%) õ Speaker colleagues (-50%)


õ *Book 3 places and get the 4th free! õ CatEx DCA Breakfast – 1st Dec õ Print Masterclass - 30th Nov (see page 5)


£206.50 net £147.50 net


£15 net Delegates (£354 inc vat )


(£247.80 inc vat (£354 inc vat


) (£18 inc vat ) )


Delegate 1 Name: .............................................................................................. Attending on: 30th November


1st December Print Masterclass Supplier Awards CatEx DCA Breakfast


Job Title: ...................................................................................................... Email: ...........................................Mobile: .................................................


OK to receive show information by: email


Supplier of the Year Awards Tickets 30th November, 6.30pm – 9.00pm


õ Please book ___ tickets at £25 net õ Please book ___ tickets at £20 net


Company Details


Company: .................................................................................................... Address: ...................................................................................................... Postcode: .................................................................................................... Country: ...................................................................................................... Tel: ............................................................................................................... Email: ..........................................................................................................


Payment Details:


õ Please invoice £_______ (on net 10 day terms) õ I enclose a cheque in full payment £_________ (cheques made payable to Synergy Partnership Ltd)


õ Credit card. Please charge _______ to my VISA/Mastercard/Solo/Maestro


Card Number: Exp Date:


Issue Date: Security Number: OK to receive show information by: email


Cardholder name: ....................................................................................... Signature: ..................................................... Date: ....................................


text For larger group bookings please call.


Fax your completed form to: +44 (0)1271 866040 or call: +44 (0)1271 866112 or visit www.ecmod360.co.uk/conference ECMOD, 1st Floor Offices, 155 High St, Ilfracombe, Devon, EX34 9EZ, UK


Booking Terms & Conditions Registering & payment methods: Please complte full details of the delegates attending together with their conference day choices by ticking the boxes provided. No provisional bookings can be taken. All fees are required to be paid with booking – cheque payable to Synergy Partnership Ltd, by direct transfer or funds to HSBC, 10 High St, Barnstaple, Devon, EX31 1BQ – sort code 40-09-13 Account No 71365371; or by Visa/Mastercard/Solo/Maestro; or may be invoiced on net 10 day terms to approved companies, or by return if booking after 16th November 2011. Cancellations: All bookings are considered final. Substitutions may be made at anytime. Amendments to the published programme: Whilst every effort is made to adhere to the published programme, for reasons outside of the organiser’s control it may be necessary to substitute speakers or amend running order of the programme. In this instance every effort will be made to notify delegates of these changes and to accommodate amendments to their bookings. ©Synergy Partnership Ltd 2011. www.ecmod360.co.uk Please tick here to opt out of third party mailings


Delegate 4 Name: .............................................................................................. Equivalent place FREE when you book places for more than 3 colleagues. Attending on: 30th November


1st December Print Masterclass Supplier Awards CatEx DCA Breakfast


Job Title: ...................................................................................................... Email: ...........................................Mobile: .................................................


each (£30 inc vat ) each (groups of 5+) (£24 inc vat ) text


Delegate 2 Name: .............................................................................................. Attending on: 30th November


1st December Print Masterclass Supplier Awards CatEx DCA Breakfast


Job Title: ...................................................................................................... Email: ...........................................Mobile: .................................................


OK to receive show information by: email text


Delegate 3 Name: .............................................................................................. Attending on: 30th November


1st December Print Masterclass Supplier Awards CatEx DCA Breakfast


Job Title: ...................................................................................................... Email: ...........................................Mobile: .................................................


OK to receive show information by: email text


NEW TOPICSNEW SPEAKERS CALL 01271-866112


11


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