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State of Caring Conference 2022 – booking form

Booking fee (early bird):

Affiliate members: £135 plus VAT

Non-Affiliate members: £160 plus VAT

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 and details of the additional attendees in the box provided below.

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 accessibility)
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 accessibility)
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 (e.g. accessibility)
Please let us know your message.

If you are booking places for more than three delegates, please use this space to provide details for the additional attendees:
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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 your invoice 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.

How did you hear about the conference?(*)

Other
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Join our mailing list

Would you like to receive information of interest to professionals including insight and information to help provide the best support for carers?(*)

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

Please type the letters numbers you see(*)
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