Booking Form

RFID seminar at the Palace Hotel, Manchester, 19th June 2012

Name of Event (required)

Location of Event (required)

Date of Event (required)

Name (required)

Delegate email (required)

Job title

Organisation (required)

Address (required)

Postcode (required)

Phone (required)

Fax

Invoice email (required)

Invoice name and address if different from above:

Name

Organisation

Address

Postcode

Purchase Order No. (If this must appear on your invoice please include at this stage)
We regret that no refund can be given within 28 days of the event, as costs will already have been incurred by NAG

NAG Membership No.

Tick if non-member 

Special dietary needs? e.g. Vegetarian/Vegan

Specific access/other requirements for seminar venue or accommodation?

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