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Lincolnshire Diversity Day – Booking Form

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Please print this form to fax or post for your booking.

Please use one form per delegate (a photocopy is acceptable)

Name:
_______________________________________________________
Position:
_______________________________________________________
Organisation:
_______________________________________________________
Address:
_______________________________________________________

_______________________________________________________

_______________________________________________________
Tel:
_______________________________________________________

Special Requirements:

eg. Diet, wheelchair access, hearing or sight disability:

_______________________________________________________


Workshop Preference: (delegates will be able to attend two workshops):

First Choice
________________________________________
Second Choice
________________________________________
Third Choice
________________________________________
Fourth Choice
________________________________________


Every effort will be made to accommodate your preferences, but places will be allocated on a first come first served basis.

Display Boards:

Delegates will have the opportunity to display relevant material relating to their organisations on boards in the conference area. If you would like to use this facility please tick here: _____

Cost:

£45 (incl VAT) for the first delegate from an organisation
£25 (incl VAT) for subsequent delegates from the same organisation and for all delegates from Voluntary Organisations.

Name, Address and Reference (if applicable) for Invoice:

__________________________________________________

__________________________________________________

__________________________________________________

Please return / fax this form by Friday 22nd December to:

Diversity Event,
Lincolnshire TEC,
Beech House,
Witham Park,
Waterside South,
Lincoln, LN5 7JH

Fax Number: (01522) 510534


Diversity Day Introduction

Conference Programme

Workshop Details

Price Details

Contact the Conference Organisers – Lincolnshire Equal Opportunities Reference Group

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