BricX Registration

Bricx

Workshop Registration
We are really excited that you are planning to join us for the workshop, please complete the form below, we will then send invoice and joining instructions.
Name*

First NameLast Name
Email*
example@example.com
Company Name
Company Address*

Street Address

Street Address Line 2

CityCounty

Postcode
Phone Number*
Please enter a valid phone number.
Preferred workshop date*
where did you hear about BricX?
Any dietary or accessibility requests
How are you expecting to use BricX within your organisation
The investment cost for this workshop is £999 plus VAT, or EARLY BIRD investment cost £899 + VAT if booked and paid for 90 days before the workshop date ...... I agree to be invoiced and settle invoice prior to the workshop*

Yes, I agree
Should be Empty:

Bricx