2024 Building For Success Conference Reservation

Building For Success Conference 2024 Reservation

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

First NameLast 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 non member. You will be charged £99 per person for the conference,plus accomodation if required. Payment must be received before the conference.
E-mail*
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Please select attendance for 1st delegate*
1st Delegate attending Optinet showcase

YesNo
Additional delegate

First NameLast Name
GOC Number
Please select attendance
2nd Delegate attending Optinet showcase

YesNo
Additional delegate

First NameLast Name
GOC Number
Please select attendance
3rd Delegate attending Optinet showcase

YesNo
Accommodation required*
If you would like to book more than three delegates please use a second booking form for the additional delegates
Below please select the accomodation that you require. For Sunday 27th October the rooms are charged at £150+ VAT or £165 + 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 rooms
Number of twin rooms
Please charge
Should be Empty:

Building For Success Conference 2024 Reservation