ITA Inclusion Conference 2019 Booking Form

Thank you for booking a place on the Isle of Wight Inclusion Conference 2019. It will take place on 12th June 2019 at the Isle of Wight College with refreshments from 1.00pm. Please complete the following questions.

Question Title

* 1. Contact Details

Name

Company

Address

Address 2

City/Town

Postcode

Email Address

Phone Number

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* 2. Role

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* 3. Requirements

Hearing Loop

Braille

Access

Audio

None

Other (please specify)

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* 4. Dietary Requirements

Vegetarian

Vegan

None

Allergy (please specify)

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* 5. Contact details for invoicing

Name

Role

Email Address

Phone Number

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* 6. Permission received to attend event from Line Manager

Yes

No

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* 7. I understand that by completing this form, I agree to attend the above named event and to pay the required charge. I understand that I must inform the Island Teaching Alliance in writing, if I am unable to attend the above named event. I understand that cancellation up to four weeks in advance of the event will incur a 50% refund and beyond this a full charge will be made.

Agree