PCN Manchester Conf Form

Page 1

Conference Booking Form 2009

Card Payment Solutions

NEWS

incorporating:

®

The Information Exchange for Electronic Transactions & Card Payment Solutions

e-Payments & Payment Card Solutions Conference 2009 The International Suite at Manchester United Football Club, Sir Matt Busby Way, Old Trafford, Manchester M16 0RA Thursday 24th September 2009 from 10:30 to 16:30 - Registration from 09:45

To register for the conference please complete the form below and return by Fax, Email or Post to the address below:

FAX BACK TO: +44 (0) 161 928 1713

1. DELEGATE DETAILS Contact Name ...................................................................................

Email ................................................................................................

Position ............................................................................................

Address ............................................................................................

Organisation/Company ...................................................................

..........................................................................................................

Tel ............................................. Fax ..............................................

................................................ Post Code .....................................

2. DELEGATE COSTS Includes three course Lunch & Refreshments. Public Sector Organisations, Further & Higher Education, NHS Trusts Emergency Services Police Fire, Private Sector Organisations Card Capable Suppliers & Merchants.

B. Industry Delegates

Delegate No.1 @ £210.00 + £31.50 Vat Total £241.50

Delegate No.1 @ £310.00 + £46.50 Vat

A. Non Industry Delegates.

Name: …………………………………………………………

Select

Delegate No.2 @ £185.00 + £27.75 Vat Total £212.75

Name: ………………………………………………………… Total £189.75

Name: ………………………………………………………… Total Amount Payable £

Select

Total £304.75

Name: ………………………………………………………… Total Amount Payable £

Inc. VAT

Select

Total £327.75

Name: ………………………………………………………… Delegate No.3 @ £265.00 + £39.75 Vat

Select

Total £356.50

Name: ………………………………………………………… Delegate No.2 @ £285.00 + £42.75 Vat

Select

Delegate No.3 @ £165.00 + £24.75 Vat

Affiliated to Card Issuers, Banks, Acquirers, Software Solution Providers Consultants, Media/PR.

Select

Inc. VAT

PLEASE ENTER THE TOTAL AMOUNT PAYABLE IN THE PAYMENT DETAILS SECTION.

3. ORDER DETAILS FOR INVOICING Purchase Order Number

Ordered By ....................................................

Signature ........................................................

.........................................................

Position ..........................................................

Date ................................................................

ON RECEIPT OF YOUR COMPLETED BOOKING FORM, YOUR PLACES WILL BE CONFIRMED BY EMAIL

4. PAYMENT METHOD

Please complete where applicable as confirmation of booking CHEQUE PAYMENT

BACS PAYMENT

We will be sending a BACS payment of £ Account Name: Caxton House Marketing Account No: 45603378 Sort Code: 05-05-29 Bank Name/Branch: Yorkshire Bank/Hyde Cheshire. SK14 1ET

Payment will be made by cheque payable to Caxton House Marketing for the amount of: £

CARD PAYMENT DETAILS

I enclose payment as confirmation of booking The Payments Cards & e-Payment Solutions Conference 2009 Please debit my Purchasing/Credit Card for £

P Card

Mastercard

Visa

Amex

inc. Vat

Switch

Issue: ..............

Expiry: ............

Other

Card holders details if different from above ............................................................................................................................................ Address ..................................................................................................................................................................................................... ..................................................................................

Post Code .............................

Signature .................................................................... Date ........................... Cancellations/Substitutions: Delegates cancelling six weeks prior or more before the conference date will be entitled to a 50% refund. Cancellations received thereafter will not be entitled to a refund. Delegates can be substituted at any time prior to the event. Notification of cancellations/substitutions must be received in writing or e-mail to info@purchasingcardnews.co.uk

Telephone ...............................................

Do you require a Vat invoice? Yes

No

Purchasing Card News & Purchasing Card News Conferences are trading titles of Caxton House Marketing Limited. Castle Hill Farm, Castle Mill Lane, Ashley, Altrincham, Cheshire, WA15 ORB Tel: +44 (0)161 928 0485 Email: info@purchasingcardnews.co.uk Website: www.purchasingcardnews.co.uk WEBCON09


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