NAV 10 The Navigation Conference & Exhibition Delegate ...
NAV 10 The Navigation Conference & Exhibition Delegate ...
NAV 10 The Navigation Conference & Exhibition Delegate ...
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<strong>NAV</strong> <strong>10</strong><br />
<strong>The</strong> <strong>Navigation</strong> <strong>Conference</strong><br />
& <strong>Exhibition</strong><br />
<strong>Delegate</strong> Registration Form<br />
30 th November – 2 nd December<br />
Church House, London<br />
PLEASE COMPLETE IN BLOCK CAPITALS and post or<br />
fax the entire form to: <strong>The</strong> Royal Institute of <strong>Navigation</strong>, 1<br />
Kensington Gore, London, SW7 2AT, UK<br />
Tel : +44 20 7591 3135, Fax: +44 20 7591 3131, conference@rin.org.uk<br />
. . . or book through the Web at www.rin.org.uk<br />
MEMBERSHIP No<br />
(if applicable)<br />
FIRST NAME:*<br />
SURNAME: *<br />
JOB TITLE: *<br />
COMPANY<br />
/ORGANISATION* (to<br />
appear on the badge):<br />
ADDRESS:<br />
TITLE (MR/MRS etc)<br />
POSTCODE:<br />
COUNTRY:*<br />
PHONE NUMBER<br />
EMAIL*<br />
Please tick the box to exclude your details from the published<br />
delegate list should there be one<br />
Additional details (e.g. dietary requirements, are you a co-author? etc) 1<br />
…………………………………………………………………………………………<br />
…………………………………………………………………………………………<br />
…………<br />
Please EXCLUDE my details from the published <strong>Delegate</strong> List.
Cost GB £<br />
exc VAT<br />
<strong>Delegate</strong>s 1 RIN Members 3 days 660<br />
<strong>Delegate</strong>s 1 RIN Members 2 days 530<br />
<strong>Delegate</strong>s 1 RIN Members 1 day 330<br />
NON EARLY BIRD<br />
Number and names of delegates<br />
<strong>Delegate</strong>s 1 Non-members 3 days 730<br />
<strong>Delegate</strong>s 1 Non-members 2 days 585<br />
<strong>Delegate</strong>s 1 Non-members 1 day 365<br />
Students 2 3 days 230<br />
Students 2 2 days 175<br />
Students 2 1 day 1<strong>10</strong><br />
<strong>Delegate</strong> Benefits:<br />
1. <strong>Delegate</strong> fees include: a full delegate pack and access to proceedings on the RIN<br />
Website, refreshments and lunches throughout the <strong>Conference</strong>. All delegates are<br />
also invited to the drinks receptions on the evening of the 30 th November & 1 st<br />
December All non-RIN member delegates will also be given free RIN ‘Guest’<br />
membership until July 20<strong>10</strong>.<br />
2. Students must be full-time and give details of their educational establishment and<br />
course for verification.<br />
3. Please note any dietary or other requirements for all delegates and other persons<br />
attending in the space provided above (please attach extra pages if more space is<br />
required).<br />
4. All prices exclusive of VAT- please add on below.<br />
SUB-TOTAL £ ......................<br />
Add VAT @ 17.5% £ ......................<br />
TOTAL TO PAY £ ......................<br />
By enclosed cheque (£ Sterling only) or bank draft.<br />
Direct to RIN bank (Please quote registrant's name)<br />
BARCLAYS BANK PLC<br />
ACCOUNT NO: <strong>10</strong>490881; SORT CODE: 20-06-05<br />
Please invoice me/my Company for payment.<br />
Order number: ……………….………………….<br />
All payments must be received by the start of the <strong>Conference</strong> (30th November<br />
20<strong>10</strong>).<br />
By VISA/MASTERCARD/ACCESS/SWITCH/AMEX/DELTA/ MAESTRO.<br />
CARD NO ……………………………………………………<br />
ISSUE DATE. …………… EXPIRY ………………………….<br />
SWITCH ISSUE No …… SECURITY CODE …………………<br />
Total to be charged £ ……………………………………….<br />
Signature ………………………………………………………
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