Submit
Name of event
*
Date of event
*
Please indicate how many delegates you would like to book
No of Delegates
*
1
2
3
4
5
6
7
8
9
10
Payment
*
Will call with credit card details
A cheque follows
Please invoice us
Free event
Discount code
A total fee of:
Purchase order no.
If you are waiting on a purchase order no. please put 'To Follow' in the box above.
Contact Details
Name
*
Organisation
*
Address for invoice
*
Telephone
*
Email
*
Joining instructions will be sent to delegate's emails 10 working days prior to the event.
Please tick
*
I am attending the course/conference
I am booking on behalf of someone else
If you are booking on behalf of someone else or there are additional delegates, please fill in the rest of the form, otherwise hit 'submit'.
Delegate 1
Name
Email
Membership
IHE Member
Non Member
Unsure
Delegate 2
Name
Email
Membership
IHE Member
Non Member
Unsure
Delegate 3
Name
Email
Membership
IHE Member
Non Member
Unsure
Delegate 4
Name
Email
Membership
IHE Member
Non Member
Unsure
Delegate 5
Name
Email
Membership
IHE Member
Non Member
Unsure
Submit
Should be Empty: