Registration

Please complete the following delegate registration form:

Personal Details:

First name:
Last name:
Address:
Postcode:
Email address:
Phone number:
Mobile:

Company / Organisation Details:

Organisation:
Job title:

Payment Details:

Delegate price is £195+VAT, with an attractive 10% discount for members of Local Authorities, Charities, NHS, BCI, CIPS, IAEM and the Emergency Planning Society.

Member of:
Local Authority
Charity
NHS
BCI
CIPS
IAEM
Emergency Planning Society

Delegate Fee:
£195.00 +VAT
Payment method:
Online (Paypal or Credit/Debit Card)
Cheque or BACS

Purchase Order:

Additional Details:

If you have any additional information, for example; require an invoice, please detail below.

Additional info:

How did you hear about BRiSC2011?

Confirm Registration:

After you have clicked 'Continue Registration' you can confirm your registration before paying online via Paypal. If you selected to pay via Cheque or BACS, you will be provided with payment details at the next stage.

Please read and agree to our cancellation and privacy policies below before you continue.

Agree:
I have read and agree to the terms and conditions

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