Booking Form Event/Course Title Event/Course Date Booking Type I want to book a place for the full event I want to book a place as a day delegate Do you require B+B the evening before the event? Name Organisation Address Postcode Telephone Email Gender Male Female Ethnic Origin Have you been to Trafford Hall before? Yes No Do you want to share a room with anyone? Yes No Would you like a room adapted for people with a disability? Yes No Please specify any special dietary requirements / special requirements of which we need to be aware: Name of Organisation Name of Department Job/Position How long have you been in post/how long have you been involved? Name of key contact if different to delegate Email of key contact if different to delegate Please state the name and address of where you would like the invoice to be sent Contact Number for Invoicing Email Address for Invoicing Purchase order number (if required) I/we agree to notify you of all cancellations/alternations no less than 14 days prior to the event. If cancellation/alteration is received less than 14 days prior to the event, the full fee is payable. However, a substitute can be sent.