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Number of Delegates: *

Name of Delegate 1:

E-mail Address of Delegate 1:

Name of Delegate 2:

E-mail Address of Delegate 2:

Name of Delegate 3:

E-mail Address of Delegate 3:

Name of Delegate 4:

E-mail Address of Delegate 4:

Name of Delegate 5:

E-mail Address of Delegate 5:

Name of Delegate 6:

E-mail Address of Delegate 6:

Name of Delegate 7:

E-mail Address of Delegate 7:

Name of Delegate 8:

E-mail Address of Delegate 8:

Name of Delegate 9:

E-mail Address of Delegate 9:

Name of Delegate 10:

E-mail Address of Delegate 10:

Company Name: *

Telephone Number:

Billing: *

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Late cancellations will be charged at the full rate if received less than 3 working days prior to the event.

Non-members will be charged at a higher rate, to book a non-member place please contact the team on 01592 647740 or e-mail info@fifechamber.co.uk.

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