Clinical Engineering Conference Delegate Booking Form

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About
Best Value Groups
Conferences
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Members Area
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Contact Us
NPAGNetwork

Clinical Engineering Conference 2024 Delegate Booking Form

Conference

Organisation

Address

Delegate 1:

Please select the appropriate delegate rate below: (required)

£95 NHS Early Bird Rate (Book by 31st July 2024)

£195 Standard Delegate Rate

£95 NPAG Member Rate

NPAG Clinical Engineering North BVG Member

NPAG Clinical Engineering South BVG Member

Email

Job Title

Special Requirements (Dietary / Access)

Telephone

Delegate 2:

Delegate 2: Email

Please select the appropriate delegate rate below: Bookings by the 31st July 2024: (required)

£95 NHS Early Bird Rate (Book by 31st July 2024)

£95 Delegate 2 Rate

Delegate 2: Job Title

Delegate 2: Special Requirements (Dietary / Access)

Delegate 2: Telephone

Invoicing address if different from above

Delegate 3:

Delegate 3: Telephone

Please select the appropriate delegate rate below: Bookings by the 31st July 2024: (required)

£95 NHS Early Bird Rate (Book by 31st July 2024)

£95 Delegate 3 rate

Delegate 3: Job title

Delegate 3: Special Requirements (Dietary / Access)

Delegate 3: Email

Purchase Order Number

Please Tick

PO is being raised/on its way

REGISTRATION CONDITIONS: A VAT invoice will be issued. VAT Registration No. 654 9195 01. VAT applies to any NHS organisation outside England and to any non-NHS organisation. Payment is due on receipt of invoice. DO NOT send payment in advance of receipt of invoice. When invoice is received, payment should be made to ‘East of England Ambulance Service NHS Trust.’ ALL cancellations must be in writing. Once receipt of your booking form is confirmed a refund will not be made in the event of a cancellation. A substitute is acceptable. NPAG cannot be held responsible for any travel expenses or accommodation costs in the event of a cancellation or postponement of a meeting, workshop or an event. In the event of the conference being postponed, NPAG will move your delegate fee across to the rearranged date. In registering to attend the Clinical Engineering Conference 2024 you will also be added to our NPAG contacts database. You will receive a copy of our monthly NPAG Newsletter and we may also send you more general information about our services, new products and offers. You can update your subscription preferences at any time via info@npag.eastamb.nhs.uk. Your details may also be shared with third party conference speaker, sponsor or delegate. Please tick as appropriate:

I have authorisation to register to attend the Clinical Engineering Conference 2024

I am happy for my contact details to be shared with third party conference speakers, sponsors and delegates

I confirm that I have read and agree to the REGISTRATION CONDITIONS and would like to register as a delegate for the Clinical Engineering Conference 2024

Many thanks for completing this form. Someone will be in touch with you shortly to confirm your booking.

If you have any queries then please contact info@npag.eastamb.nhs.uk.

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Contact

0300 790 6274

info@npag.eastamb.nhs.uk

National Performance Advisory Group

East of England Ambulance Service NHS Trust

Hospital Approach

Broomfield

Chelmsford

Essex

CM1 7WS

INFO

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