Company Name * Contact Name * Address for correspondance * Post Code * Telephone * Email * Representative 1 Title * - Select -MrMrsMissDrMs First name * Surname * Job title * Representative 2 Title * - Select -MrMrsMissDrMs First name * Surname * Job title * Banner space required * (i.e. number of banners) Electricity power point(s) * Any other requirements * Please supply names of those attending and specify any special dietary requirements Guest 1 * Guest 1 Dietary Requirement * Guest 2 * Guest 2 Dietary Requirement * Confirmation & Cancellation PolicyReceipt of booking form guarantees space at the WPS Clinical Meeting. Cancellations may be made up to 1 month prior to the event with no charge. Cancellations received less than 1 month and up to 1 week before will be subject to a 50% charge. Cancellations received less than 1 week before the event will incur a 100% cancellation fee A provisional programme will be available a month prior to the event with a final programme issued on the day of the event