SBK Healthcare Delegate Registration Form
Standard SBK prices: NHS One Place - £384*| NHS Two Places - £299*| NHS Four Places - £284*
Commercial One Place - £684*|*plus VAT. Prices are per person per day and subject to change
Delegate 1 Information
Event 1 Name/Date: Click here to enter text.
Title: Click here to enter text.
Event 2 Name/Date: Click here to enter text.
First Name: Click here to enter text.
Job Title: Click here to enter text.
Last Name: Click here to enter text.
Department: Click here to enter text.
Organisation: Click here to enter text.
Phone: Click here to enter text.
Email: Click here to enter text.
Mobile: Click here to enter text.
Address: Click here to enter text.
Line Manager Name: Click here to enter text.
Line Manager Job Title: Click here to enter text.
Delegate 2 Information
Event 1 Name/Date: Click here to enter text.
Title: Click here to enter text.
Event 2 Name/Date: Click here to enter text.
First Name: Click here to enter text.
Job Title: Click here to enter text.
Last Name: Click here to enter text.
Department: Click here to enter text.
Organisation: Click here to enter text.
Phone: Click here to enter text.
Email: Click here to enter text.
Mobile: Click here to enter text.
Address (if different): Click here to enter text.
Line Manager Name: Click here to enter text.
Line Manager Job Title: Click here to enter text.
Booking Contact
Booking Contact Name (if different): Click here to enter text.
Booking Contact Email: Click here to enter text.
Booking Contact Phone: Click here to enter text.
Total Price (before VAT): £Click here to enter text.
Total Price (inc VAT): £Click here to enter text.
How did you hear about the event?: Click here to enter text.
Invoice Details
BACs Payment
Invoice Contact Name: Click here to enter text.
SBK Sort Code: 09-01-50
Invoice Contact Email: Click here to enter text.
SBK Account Number: 05321182
Invoice Contact Phone: Click here to enter text.
SBK Bank Name: Santander UK Plc
Purchase Order: Click here to enter text.
Your Reference: Family Name/Event Code
Invoice Address (if different): Click here to enter text.
Cheque Payment
Please make cheques payable to: SBK (UK) Ltd
Credit Card Payment
Type of Card: (delete as appropriate) Debit Card (no charge) / Credit Card (2.7% surcharge) / AmEx (2.7% surcharge)
Cardholder’s Name: Click here to enter text.
Payment Price (inc VAT & surcharge): £Click here to enter text.
Card Number: Click here to enter text.
Expiry Date: Click here to enter text.
3/4 Digit Security Code: Click here to enter text.
Issue No (Maestro): Click here to enter text.
Cardholder Email: Click here to enter text.
Cardholder Signature: Click here to enter text.
Cardholder Address (if different): Click here to enter text.
Agreement
By submitting this form to SBK you confirm that you have read and agree to the SBK Healthcare registration
terms and conditions. Scroll down to view the registration terms and conditions.
Once completed, please email your booking form to [email protected]
Tel: 01732 897788 | Fax: 01732 448 047 | Website: www.sbk-healthcare.com | SBK Healthcare, 10 Churchill Square, Kings Hill, West Malling, ME19 4YU
SBK (UK) Ltd is registered in England and Wales, company number 5436886 and registered address Henwood House, Henwood, Ashford, Kent TN24 8DH
SBK Healthcare Delegate Registration Form
Standard SBK prices: NHS One Place - £384*| NHS Two Places - £299*| NHS Four Places - £284*
Commercial One Place - £684*|*plus VAT. Prices are per person per day and subject to change
Prices
Prices quotes are standard prices for many SBK events. However these are subject to change and should be checked on
the event home page or by contacting SBK Healthcare on 01732 897788.
Registration Fee
Registration fees are payable in advance. The fee includes documentation, refreshments and lunch. It does not include
travel costs or accommodation. If your fee has not been received prior to the event, delegates without proof of payment
will be asked for a credit card guarantee on the day.
Travel
Travel is not included in the conference fee. It is the responsibility of each delegate to make their way to the conference
venue in adequate time. The Conference organisers are not liable for any delays or non-attendance resulting from
delayed or suspended transportation. Directions to the conference venue can be found via the link on the Delegate
Information page at www.sbk-healthcare.com.
Cancellations
A full refund of fees will be made only for cancellations received in writing no less than 28 days prior to the event (less
Ł90 administration charge). Notice of cancellation must be received in writing and submitted by contacting
[email protected]. Should you need to cancel your registration less than 28 days prior to the event, the
registration fee remains payable in its entirety although a substitution will be accepted and conference documentation
will be provided. You are still entitled to conference documentation in the event of cancellation.
Substitutions and Name Changes
Substitutions for delegates unable to attend after registering are accepted at any time. To inform us of a name change,
please contact [email protected]. It may be necessary for reasons beyond the control of the conference
organisers to alter the venue, content, speakers or the timing of the programme. We will endeavour to keep you abreast
of such changes but any unavoidable change to the conference format will not constitute a reason to refund the
conference fee. Should the event be postponed, we will endeavour to reschedule the event. If, for reasons beyond the
control of the conference organiser, the event is cancelled, a full refund will be made. We do not accept any liability for
any incurred costs resulting from a postponement or cancellation
Data Protection
Your details will be held on our database to enable us to process your order and so that you can be kept up to date with
relevant details of future events. Sometimes they may be made available to external organisations for marketing
purposes. If you do not wish to receive such information please write to: Database Manager, SBK (UK) Ltd, 10 Churchill
Square, Kings Hill, West Malling, ME19 4YU.
Special Requirements
If you have any special needs or any particular dietary requirements, we are happy to help where possible. Please
contact us with details. Vegetarians will be catered for.
Certificate of Attendance
A certificate for Continuing Professional Development will be given to each participant who completes the course, as a
record of your continuing professional training and development.
Additional Documentation
If you are unable to attend or would like to pick up an additional set of documentation on the day, the event
documentation is available for purchase at £89 per set.
Tel: 01732 897788 | Fax: 01732 448 047 | Website: www.sbk-healthcare.com | SBK Healthcare, 10 Churchill Square, Kings Hill, West Malling, ME19 4YU
SBK (UK) Ltd is registered in England and Wales, company number 5436886 and registered address Henwood House, Henwood, Ashford, Kent TN24 8DH