Online Application Form

Please note that fields marked with a * are mandatory.

Title: *
First Name: *
Surname: *
Job Title: *
Company: *
Nature of business: *
Address 1: *
Address 2:
Address 3:
Address 4:
Town: *
County:
Postcode: *
Telephone: *
Fax:
Email: *
Please indicate which delegate rate is applicable. * Conference + dinner + hotel accommodation at £ 595 + VAT (members' rate) Conference + dinner + hotel accommodation at £ 745 + VAT (non-members' rate) Conference only at £ 495 + VAT (members' rate) Conference only at £ 645 + VAT (non-members' rate)
Payment method: *
Booking Discount Code (ICA members: see website at www.int-comp.org)
Your contact details will be held on our secure database and may be used to keep you up to date with developments in your industry. Sometimes your details may be made available to reputable and relevant external companies. If you do not wish your details to be used for this purpose please tick here.
How did you hear about IMLPO conference *? Received brochure in the post (please quote number below) Received information from colleague Received information from another association (please say which) Saw information on website (please say where) Other (Please specify)
I confirm that I have read and agree to the terms and conditions of cancellation. (Terms and conditions)

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