Group Booking Form (01) 679 6680
BLOCK CAPITALS PLEASE
Event:
International Banking: The New Normal- FIBI Conference 2017
Surname:
First Name:
Position/Job Title:
Company Name:
Company Address:
Phone Number:
e-mail Address:
FIBI/IBF Member/Associate - €380
Please Tick:
Non-member - €480
Additional
Delegates:
Name
1.
2.
3.
4.
5.
6.
Tick only one - Visa
Email Address
MasterCard
Laser
Card Number
Electronic Payment
- Credit Card/
Debit Card
CCV Number
Expiry Date(mm/yy)
/
Name on Card
Signature of Cardholder
To register:
Telephone: 01 6715311 or Fax-back form: 01 6796680
Cancellations: Cancellations must be made in writing no later than 10 working days before the conference date. Full refunds will be
issued. Tickets are transferable but notice of the transfer must be made in writing no later than 5 working days before the
conference date. For multiple registrations i.e. more than one person registering on one credit card, please include details of
additional participants (as required on this form). The Banking & Payments Federation Ireland reserves the right to alter programme
content, speakers, or agenda at any time due to circumstances beyond our control.