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cbc registration form
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F I V E E A S Y W A Y S T O R E G I S T E R :
POST: Events team, Commonwealth Business Council, 18 Pall Mall, London SW1Y 5LU, UK
ONLINE: www.cbcglobal.org
FAX: +44 (0)20 7024 8201
PHONE: +44 (0)20 7024 8200/8271/8211/8219
EMAIL: [email protected]
Delegate Details - ALL FIELDS MUST BE COMPLETED IN BlOCK CAPITALS
Applicant Type: Delegate Spouse/Partner
Title: First Name(s):
Surname:
Name of Accompanying Spouse/Partner: if applicable
Date of Birth: YYYY/MM/DD Gender: Male/Female
Country of Birth: Country of Citizenship:
Passport Number: Flight Details
Country of Issue: Arrival Date: YYYY/MM/
DD
ID Expiry Date: YYYY/MM/DD Arrival Time:
Organisation Name: Flight No.
Sector/Industry: Return Date:
Job Title: Dep. Time:
Email: Flight No.
Direct Phone: Mobile/Cell Phone: .
Employer’s Address: Residential Address:
Town/City: Town/City:
Post/Zip Code: Country: Post/Zip Code: Country:
Please Attach Photo
Full colour
Taken in the past six (6)
months
Image must be set against
a light-coloured, plain
background and must
occupy at least two-thirds
(2/3) of the space
50 mm x 70 mm
Electronic format:
I Agree to be bound by the CBC’s Terms Conditions and Cancellation policy
Signature:
Date:
Payment must accompany your registration form. Forum registration cannot be confirmed until payment is received
Credit Card - charges as per this form are to be debited to: MasterCard Visa American Express(3.5 % charge)
Name on card: Valid from: Expiry date:
Credit card number: Security Code:
OR
GBP Bank Transfer/BACs - Kindly attach a copy of the teller/cheque as proof of payment to confirm registration, using delegate name as reference
Bank: HSBC Account Name: Commonwealth Business Council Limited Account No: 8159 2076 Sort Code: 40 - 05 - 20
Swift Code MIDLGB22 IBAN No GB82MIDL40052081592076
Registration Fees Early Bird - Before 31/07/13 Delegate Fee - After 01/08/13
Delegate Fee: GBP 650 GBP 1000
Spouse / Partners: GBP 325 GBP 500
CBC Member: If you are unsure of your membership status with the CBC please email
[email protected] prior to registering
Accommodation & Visa Following successful registration and payment CBC will provide
a welcome pack containing:
Visa for travel to Sri Lanka
Details on how to book accommodation at the conference hotel
The pack will usually be sent out within 7 days of registration
Terms and Conditions
1. CBC reserves the right to cancel a registration, in this case a full refund of the
registration fee will be made.
2. I consent to the disclosure and subsequent verification of information concern-
ing my date of birth, address, employment criminal security check and photo. I
also certify that the information I have provided is true and correct to the best of
my knowledge and belief.
3. Reservations will be confirmed in writing by CBC.
4. 20% UK VAT applicable to organisations registered within the EU only.
5. The CBC reserves the right to postpone events or amend the programme.
5. This booking form constitutes a non-cancellable binding contract and firm
commitment to the CBC subject to the cancellation policy thereafter.
6. This contract has been drawn up in writing; verbal agreement has not been
made.
7. The delegate price does not include travel, accommodation or additional
related expenses.
8. Bookings are only valid when signed and dated.
Cancellation Policy
Cancellations must be received in writing no later than 30/09/13, and will be subject to a 20%
cancellation fee unless a substitute delegate is nominated. Cancellations received after
30/09/13 will be liable for the full registration fee, however substitutions will be accepted.
Cancellations must be acknowledged in writing by the Commonwealth Business Council.