Reducing Casualties by Stopping Crashes Reservation

Chosen Event (REQUIRED)
Please select from this 'drop down' list:
---Stirling - 25/04/2022Liverpool - 13/06/2022Plymouth - 04/07/2022

Delegate Details

Optional Additional Delegate Names with this Booking:

NOTE
There is no limit to the number of places which can be booked at the same time.  However, if, as the person making the booking on behalf of a number of delegates and requiring to register (at the same time) more places than this form allows please TELEPHONE The Graham Feest Consultancy for details of how to make that reservation.

For each of the Names, all fields are required.

The Fee Payable (REQUIRED)
Please select from this 'drop down' list:
---1 @ Full Price (£125) = £1251 @ Full Price (£125) +1 @ £110 = £2351 @ Full Price (£125) +2 @ £110 each = £3451 @ Full Price (£125) +3 @ £110 each = £4551 @ Full Price (£125) +4 @ £110 each = £5651 @ Early Bird = £85 - Check Offer Expiry1 @ Early Bird (£85) +1 @ £70 each = £1551 @ Early Bird (£85) +2 @ £70 each = £2251 @ Early Bird (£85) +3 @ £70 each = £2951 @ Early Bird (£85) +4 @ £70 each = £365

Official Order Number or Reference (if applicable)

Comments (if required)
Characters Remaining: 180

Check here (REQUIRED) FULL payment must be made prior to the Event. The reservation will be acknowledged by email with details for making that payment.

GDPR - Please Read - In order to fully administer this event all details given above for each named person will be retained on a secure data base for the purposes of circulating other papers appertaining to the event, producing a name badge and a list for inclusion in the delegate pack. Only the name(s) and authority/organisation will be recorded on your name badge and the delegate list. Under no circumstances will contact details be passed to any third party or shared with any other person(s).  By the same token information will not be sold on for private gain to any other person, body or organisation. By ticking the box you are personally confirming and on behalf of all those listed that you understand and agree with the manner in which the information is retained and will be used.

Check here (REQUIRED) to confirm your details being kept in the manner described above in accordance with the requirements of GDPR

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