ࡱ>  kbjbj .>jj4"<4*jjjjQQQw)y)y)y)y)y)y)$+ .X)Q|Q{QQQ)'xxj)'''Q4xj(|w)'Qw)''":(,2J| )^ P G^( )l*04*(Rf.f. )'xxxxImplementing REACH 20 November 2007 - Brussels www.endsreachconference.com TO SECURE YOUR PLACE: 1. Fax this completed registration form to +44 (0) 20 8267 4486 2. Post this booking form with payment to FREEPOST (LON3727), Haymarket Conferences, 174 Hammersmith Road, London, W6 7JP If you have any problems registering please call 0208 267 4011 or email: conferences@haymarket.com ---------------------------------------------------------------------------- PRICE INFORMATION: Before 27 Sept 2007 After 27 Sept 2007  Euro Rate** 779 927 + VAT* ( 942.60) + VAT* ( 1121.70) Sterling Rate** 529 629 + VAT* (640.10) + VAT* (761.10) * NB Please note VAT at the Belgium rate of 21% ** All delegates places include speaker notes. --------------------------------------------------------------------------  Implementing REACH is produced by Haymarket Conferences  Brochure code: ϲʿ¼ Name of person completing form if different from delegate: Please register the following delegate (BLOCK CAPITALS) Name (Mr/Mrs/Ms/Dr) Position .. Organisation Address .. .. Postcode. Tel Fax . Email I agree to the terms and conditions as stated opposite. Signed... Please indicate how you wish to pay: Pre-payments to be made with booking form or, where agreed, payment to be made upon receipt of invoice. A receipted VAT invoice will be issued once payment has been received. Enclosed is a cheque for *Cheques made payable to Haymarket Publishing Services Ltd I wish to be invoiced: PO Number.. (required for payment by invoice) NB Purchase orders will be required I wish to pay by credit card. Please charge my: AMEX/Visa/Mastercard Cardholders name Card No.     Expiry Date   Card billing address (if different from address already listed) .. .. Cardholder Signature: . Cardholders signature Accommodation Overnight accommodation is not included in the registration fee. A limited amount of rooms are available at the Le Plaza Brussels. Please call +32-2-278 01 00 to book, stating that you will be attending the ENDS REACH conference. For further near by accommodation please click on  HYPERLINK "http://www.cityhotelaccommodation.com/brussels.html" \o "http://www.cityhotelaccommodation.com/brussels.html" \t "_blank" http://www.cityhotelaccommodation.com/brussels.html Please book early all rooms and rates are subject to availability. Confirmation One we have received confirmation of your booking in writing, we will send you an email confirmation with joining instructions. An invoice will be sent out to your shortly after. Your VAT receipt will follow once full payment has been received. N.B. We must receive payment prior to the conference date. If you have not received confirmation of your booking within 14 working days of the conference please contact the Customer Services team on 020 8267 4011 as we cannot be held responsible for the non-arrival of information. Delegate Access And Requirements We always provide a vegetarian option for lunch. If you have any other dietary requirements please inform our Customer Services team at the time of booking. We make every effort to ensure that our events are accessible and enjoyable for all of our delegates. Please contact our Operations team on 020 8267 4011 or  HYPERLINK "mailto:conferences@haymarket.com" conferences@haymarket.com to discuss any access or specific requirements you may have. Data Protection By registering for a conference, Haymarket Conferences can provide you with information relating to your booking and other Haymarket related products or services via email, direct mail, fax or telephone. Please write to the Head of Marketing at the address above if you do not want to receive this information. We may also make your details available to carefully screened companies (excluding email addresses) who have offers that may be of interest to you. n Yes, I would like to receive carefully screened and work related emails from third parties. n If you specifically do not wish your details to be made available to third parties please tick here. Cancellations All cancellations must be made in writing to the address above, and made no later than 31 October 2007. Such cancellations are subject to a handling and administration charge of 75.00 + VAT per delegate, which will be deducted from any due refund or invoice, whichever is appropriate. The company regrets that no cancellations are acceptable within 20 days of the conference date but a substitute delegate can be nominated. Pre-payments will not be refunded and invoiced sums will be payable in full, except in cases where it has been possible to mitigate loss. 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