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Event registration form
Event Title
Date
Which region is the event being held in?
CIPFA Channel Islands Branch
CIPFA European Group
CIPFA in the Midlands
CIPFA North East Students' Society
CIPFA North Eastern Region
CIPFA North West and North Wales Society
CIPFA Northern Ireland Branch
CIPFA in the Republic of Ireland
CIPFA in Scotland
CIPFA Scottish Students' Society
CIPFA South East
CIPFA in South Wales and the West of England
Delegate
Mr/Mrs/Ms
Forename
Surname
Organisation
Job Title
Are you a
CIPFA member
CIPFA student member
AAT
Retired member
Forum Subscriber
Other CCAB member
Other CCAB student
Other
If you are a CIPFA member, please state your membership number.
CIPFA Number
Address
Postcode
Telephone with ext.
Fax
email
Payment Options (where applicable)
I would like to pay by:
Invoice
Cheque
BACs