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The conference is now fully booked, please complete this form if you wish to be added to the reserve list. State of Caring Conference 2018 – booking form

Organisation(*)
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Sector(*)

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Carers UK affiliate members receive a discounted rate for the State of Caring Conference.

Is your organisation an affiliate member of Carers UK?(*)

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Please provide your affiliate number:
Please enter your affiliate membership number.

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Address line 1(*)
Please let us know your address.

Address line 2
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Town/City(*)
Please let us know your town.

Postcode(*)
Please let us know your postcode.

How many places would you like to book?(*)
Please select the number of places you would like to book.

* To register four or more delegates please provide the names of the first three people and we will contact you for the details of additional attendees.

Please enter the number of places you would like to book:(*)
Please enter a number to let us know the number of places you would like to book.

1st delegate

First name(*)
Please let us know your first name.

Last name(*)
Please let us know your last name.

Job title(*)
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Email(*)
Please let us know your email address.

Phone(*)
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Special requirements (eg dietary / wheelchair access)
Please let us know your message.

2nd delegate

First name(*)
Please let us know your first name.

Last name(*)
Please let us know your last name.

Job title(*)
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Email(*)
Please let us know your email address.

Phone(*)
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Special requirements (eg dietary / wheelchair access)
Please let us know your message.

3rd delegate

First name(*)
Please let us know your first name.

Last name(*)
Please let us know your last name.

Job title(*)
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Email(*)
Please let us know your email address.

Phone(*)
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Special requirements (eg dietary / wheelchair access)
Please let us know your message.

If you are booking places for more than three delegates, please use the space below to provide additional details:
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Affiliate reception
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A reception for Carers UK’s Affiliate Members will be held after the conference (4.45pm - 6pm). All Affiliates Members are invited to attend and network. Please indicate how many people will attend the reception and include their full names in the box above. Please separate names with a comma if you are registering more than one person.

Payment details

We will email you a copy of your invoice once we have processed your booking.

If you have a purchase order number for this booking, please provide it below:

Purchase order number:
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We will send payment details to the email address you have provided. If you would like another contact to be copied in (eg your organisation's finance department) please provide the email address below:

Alternate email address:
Please let us know your email address.

Would you like to receive our email newsletter for professionals?(*)

Please let us know if you would like to receive our email newsletter.

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