Action in rural Sussex and Sussex Associations of Local Councils Joint Conference and AGMs AMEX Community Stadium, Village Way, Brighton, BN1 9BL Thursday 7 November 2013 09.30 – 17.00 BOOKING FORM Individual / Organisation Details: Name of Individual (Delegate One) Name of Organisation (if applicable) Address of Individual or Organisation Telephone Number Email (please note this will be used for all correspondence relating to this event) Attending (*please circle which part(s) *SALC AGM / Joint Conference / AirS AGM of the day you will be attending) Special dietary requirements Additional Delegate Details: * = please circle which part(s) of the day you will be attending. Delegate Two: Name Attending *SALC AGM / Joint Conference / AirS AGM Special dietary requirements Delegate Three: Name Attending *SALC AGM / Joint Conference / AirS AGM Special dietary requirements D:\81914052.doc 1 Payment details: There is no charge for attending each of the AGMs. The cost for attending the Joint Conference is £48.00 per delegate (inc VAT) and this includes lunch and refreshments throughout the day. Please tick as appropriate BACS Payment Please use the payment reference: ‘AirS / SALC Joint Conference 2013.’ CAF Bank Account. Sort Code: 40-52-40 Account Number: 00019693 We enclose payment by cheque Please make cheques payable to Action in rural Sussex How to book: 1. To secure your place please complete this booking form and return it to: AirS / SALC Joint Conference, Action in rural Sussex, Sussex House, 212 High Street, Lewes, East Sussex, BN7 2NH or email it to [email protected]. A confirmation of your booking will be sent within 3 days. 2. Deadline for receiving booking forms is Friday 25 October 2013. Places will be reserved on a first come first served basis as the AMEX has a maximum room capacity. 3. No refund will be made for cancellation or non attendance. We suggest that another member from your Council / Organisation attends on your behalf. 4. The programme for this event may be subject to change and Action in rural Sussex and Sussex Associations of Local Councils reserve the right to make those changes. 5. As a Member of AirS and / or SALC it is your right to attend just the AGMs at no cost. Formal papers for each of the AGMs will be sent out to individual Members and Member Organisations under separate cover. For AirS office use only: Booking form received and delegates recorded (date): BACS Payment received (date): Cheque payment received (date): Receipt sent where requested: D:\81914052.doc 2
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