Course on Distributed Generation Registration Form (PDF 31 KB)

The Institution of Engineering and Technology Course on Distributed Generation Systems 2008 8 – 10 September 2008: NaREC, Blyth, Northumberland, UK One person per form only (forms may be photocopied) Conditions of Booking Forms should be received no later than Monday, 1 September 2008. All participants registering less than one week before the date of the event are advised to bring a copy of their registration form with them. Cancellation In the event of cancellation and provided that written notice is received seven days prior to the event, a refund of 50% of the total fee will be made. If no notice of cancellation is received, no refund can be made. The Institution of Engineering and Technology reserves the right to cancel any event. In this case, the full fee will be refunded unless a mutually convenient transfer can be arranged. Details of event changes or cancellations are available by phoning +44 (0)1438 767343. Name Substitutions are accepted at any time by fax or email. Fax: +44 (0)1438 765659 Email : eventscs2@theiet.org Supporting organisations Members of supporting organisations who can provide evidence of their affiliation will be admitted at members’ rates. Delegates with Special Needs The Institution of Engineering and Technology aims to offer fully accessible events to all its delegates. Please help us to accommodate any individual needs that you may have by attaching a note to the registration form. We will contact you to discuss this as necessary. Data Protection Information provided by you on this form will be processed by the Institution of Engineering and Technology and used for the purpose of the goods and services ordered by you, and for billing accounts. If you are an Institution of Engineering and Technology member and do not want to hear about similar events and services provided by the Institution, please tick here ? If you are not an Institution of Engineering and Technology member and would like to hear about similar events and services provided by the Institution, please tick here ? The Institution of Engineering and Technology is not, as a body, responsible for the views or opinions expressed by individual authors or speakers. UK Institution of Engineering and Technology VAT Reg No: 240-3420-16 The Institution of Engineering and Technology is registered as a Charity in England & Wales (no 211014) and Scotland (no SC038698) For office use only : Ref: 12416 F312789 Power Gen & Con Family Name_________________________________ Title (Mr, Mrs, Miss etc) _________ First Name___________________________________ Job Title _____________________ The Institution of Engineering and Technology Membership No ________________________ Name of Organisation (for name badge) __________________________________________ Address for Correspondence ___________________________________________________ ___________________________________________________________________________ Town/City __________________________________________________________________ Postcode ____________________________________ Country______________________ Contact Telephone ____________________________ Fax _________________________ Email ______________________________________________________________________ Do you have any dietary or other requirements? ____________________________________ How did you hear about this event? Direct Mail ? Word of Mouth ? Colleague ? Other ? __________ Course fees cover full documentation including a copy of Engineering Recommendation G.59, course dinner, lunch, interval refreshments and technical visit. Charge per person £ p EARLY BIRD REGISTRATION (on or before Friday, 8 August 2008) Member £750.00 (+ £131.25 VAT= £881.25) Non Member £850.00 (+ £148.75 VAT= £998.75) STANDARD REGISTRATION (after Friday, 8 August 2008) Member £850.00 (+ £148.75 VAT= £998.75) Non Member £950.00 (+ £166.25 VAT= £1116.25) Early Bird Group Rate for 5 delegates £3000.00 (+ £525.00 VAT= £3525.00) IET Power Academy Graduates & Student £500.00 (+ £87.50 VAT= £587.50) Total Remittance ‡ All students must have their applications endorsed by their Professor or Head of Department Payment must accompany this registration form. Registration will only be confirmed on receipt of full payment. Please indicate the method of payment: Cheque ? Credit Card ? BACS ? Cheques should be made payable to “IET” and crossed. Credit Card Visa ? MasterCard ? AMEX ? Switch ? Issue No _____ Valid from ____/____ Expiry Date CSC (Card Security Code) Last 3/4 digits on signature strip Name of Cardholder Full registered address of Cardholder (if different from above) ___________________________ ____________________________________________________________________________ _______________________________________________ Postcode ____________________ Bank Transfers (BACS) can be made to Barclays Bank Plc, UK Bank, 1 Churchill Place, London, E14 5HP. Account no: 50480606 Sort code: 20-65-82 IBAN GB53 BARC 2065 8250 4806 06. A copy of the Draft must accompany this form. Delegates must be aware that the Institution of Engineering and Technology is not responsible for any gains or losses as a result of fluctuations in the Exchange rate. PLEASE NOTE: Payment via Purchase Order is not accepted Card Number Complete and return this form to: The Institution of Engineering and Technology Finance Department P O Box 96 Stevenage Herts SG1 2SD UK Fax: +44 (0)1438 765659 For all enquiries telephone +44 (0)1438 765648 or email eventsa2@theiet.org REGISTRATION (Please complete in CAPITALS) FEES AND CHARGES (Please complete the appropriate box) Application Forms should be completed and returned to the address below and must be accompanied with the correct payment. Attendance at the event will only be confirmed on receipt of the full payment. PAYMENT DETAILS