2020 Building For Success Conference Reservation

Building For Success Conference 2020 Reservation

Please complete the following details to reserve your place
Full Name *

First Name Last Name
GOC Number
Company Name *
NEG Account Number *
If you are an Optinet user please write Optinet in the Account Number box, there is no charge for you to attend. If you are not an NEG member or Optinet user please write PAY in account number box, we will then invoice £75 + VAT per delegate to the address given. If you are an AIO member please write AIO in the account number box, if you are an Eyeplan associate please write Eyeplan, to recieve your complimentary place
E-mail *
Phone Number *

Area Code Phone Number

Address *

Please select attendance for 1st delegate *
Additional delegate

First Name Last Name
GOC Number
Please select attendance
Additional delegate

First Name Last Name
GOC Number
Please select attendance
Accommodation required *
Below please select the accomodation that you require for Sunday 28th June. Rooms are charged at £110+ VAT for single occupancy and £145 + VAT for double occupancy. The room rate includes three course dinner, bed & breakfast. You can charge the accomodation to your NEG account or be billed separately, which must be paid by bank transfer.
Number of single occupancy rooms
Number of double room
Number of twin rooms
Please charge
Should be Empty:

Building For Success Conference 2020 Reservation