First Name:
Last Name:
IEDP Member:	YesNo
Name of your organisation to send CPD certificate (if applicable):
Address to send CPD certificate - first line address:
- second line address:
- third line address:
Post Code:
Name of Event of Course:
Code for Event or Course:
Date of the Event or Course:	Now
Delegate booking email address:
Booking Contact Email (if different from above):
Purchase Order Number (if required):
Enter the amount of the fee for this event/course (incl. VAT):
Contact Name (if required):
Contact Address for Invoice (if different from delegate address):
Accounts Department Address (if required):
Click here if you wish to claim a 10% discount for 3 or more bookings (see details below):
Give details of other booking references to claim the discount:
How did you learn about this event/course?:
Please tick or add as necessary. For some requirements, sufficient advance information is needed to ensure facilities are available.:	No particular requirements Wheelchair access needed Accessible parking needed Induction loop needed BSL interpreter needed Large print needed Personal assistant will be accompanying me

Discount: An overall discount of 10% applies if you book 3 courses; or if 3 delegates from your organisation attend the same course.

Invoicing: An invoice will be issued and sent in due course with full payment details.

Payment: This may be made by cheque or BACS.

Cheques: Please make payable to the Institute of Equality and Diversity Practitioners and post with your booking form to the address below.

BACS details:
Bank: Lloyds TSB
Account Name: Institute of Equality and Diversity Practitioners
Sort Code: 30-97-25
Account No: 00107301

Please quote YOUR NAME and the COURSE CODE as your payment reference.

Purchase Order: If the payment is made by your Accounts department, please ensure you include a Purchase Order reference on your booking form.

Cancellation: No refunds will be made for cancellations received 7 days prior to the event. Cancellations received 14 days prior to the event 50% of the fee will be refunded.

Substitute delegates: Substitute delegates are welcome. Please note: All name changes must be received in writing by email or fax no later than 7 days prior to the event.

Returning Your Booking Form
Once you have completed your booking form, please click the [Submit] button, or if you are printing a hard copy, please return it by post, email or fax using the details below.
Institute of Equality and Diversity Practitioners
2 Old College Court
29 Priory Street
Ware
Hertfordshire
SG12 0DE
T: 0844 4827 263
E: info@iedp.org.uk
W: http://www.iedp.org.uk/

We look forward to welcoming you on to your chosen event/course(s).