Online Enquiry Form

I wish to reserve my delegate place at the NAEP National Conference 2010

Please note we do not encourage and reserve the right to refuse bookings for delegates from commercial organisations.

All fields marked with * are Mandatory

Your Details

* Title:
* First Name:
* Surname:
* Job Title:
* Organization:
Address1:
Address2:
City:
Country:
* Postcode:
* Telephone:
Fax:
* Email:
Access / Dietary Needs:
Please include your 3 choices of workshop here and if booking a one day package, which day you are booking for

Please tick the box that describes your overall responsibility:

	Equipment Manager		Finance/IT/Admin
	Operations/Stores/Procurement		Voluntary Sector Worker
	OT/Clinical Lead		Retailer
	Commissioning Lead		Other

Do you have any budget responsibility?

Yes

Delegate Type (Please tick which rate applies to you)

	* Non Member		* NAEP Member
*NAEP Membership Number (please state)

Conference Packages and Fees

NAEP MEMBERS EARLY BIRD Conference Packages and Fees

Please tick the relevant box to indicate the package you would like to book
	Two night residential package. Includes entry to the conference, lunch and refreshments on the 23rd and 24th June. Two night’s accommodation at the Norbreck Castle Hotel for the 22nd and 23rd June, with breakfast, entry to the Gala Dinner on the evening of the 23rd June. COST: £190.75p (plus VAT)

	One night residential package. Includes entry to the conference, lunch and refreshments on the 23rd and 24th June. One night’s accommodation at the Norbreck Castle Hotel for the 23rd June, with breakfast, entry to the Gala Dinner on the evening of the 23rd June. COST: £174.50p (plus VAT)

	Attendance for Two Days - No Hotel: Includes entry to the Conference on 23rd and 24th June with lunch and refreshments for both days. Please Note: entrance to the Gala Dinner is not included in this package. For information on purchasing Gala Dinner tickets please contact the Conference Event Team at Disability North (Contact details below). COST: £158.75p (plus VAT)

	One day delegate package. Includes entry to the conference lunch and refreshments on specified day. Please state below which day you wish to attend: 23rd June 24th June COST: £122.00 (plus VAT)

NAEP NON MEMBERS EARLY BIRD Conference Packages and Fees

Please tick the relevant box to indicate the package you would like to book
	Two night residential package. Includes entry to the conference, lunch and refreshments on the 23rd and 24th June. Two night's accommodation at the Norbreck Castle Hotel for the 22nd and 23rd June, with breakfast, entry to the Gala Dinner on the evening of the 23rd June. COST: £253.25p (plus VAT)

	One night residential package. Includes entry to the conference, lunch and refreshments on the 23rd and 24th June. One night's accommodation at the Norbreck Castle Hotel for the 23rd June, with breakfast, entry to the Gala Dinner on the evening of the 23rd June. COST: £227.00p (plus VAT)

	Attendance for Two Days - No Hotel: Includes entry to the Conference on 23rd and 24th June with lunch and refreshments for both days. Please Note: entrance to the Gala Dinner is not included in this package. For information on purchasing Gala Dinner tickets please contact the Conference Event Team at Disability North (Contact details below). COST: £211.25 (plus VAT)

	One day delegate package. Includes entry to the conference lunch and refreshments on specified day. Please state below which day you wish to attend: 23rd June 24th June COST: £148.25 (plus VAT)

Please note packages are available for delegates who wish to stay on the 21st or 24th June. Please contact the Events Organizers on 0191 233 6719 for more information

Please note the early booking rate only applies until the 31st March 2010.

Please note: Seating at the conference dinner will be randomly allocated unless otherwise stated.

Payment Method

Invoice address (please complete if different to address on delegate registration form).
Address:	Accounts Contact:

Accounts Telephone Number:	Accounts Fax Number:

*Cancellation fees after 30th April 2010 or non attendance will result in no refund.
If you are Interested in receiving details of NAEP as an organization please tick this box.