Chartered Institute of Public Finance and Accountancy



Event Booking Form

* Event Title  

 Delegate Information * indicates required field
 Title  
 * Forename
 * Surname
 Job Title
 Organisation
 Are you a
 Address
 Post Code
 * Telephone Number (with extn)
 Fax Number
 * E-mail
 Contact at Organisation
 Special Requirements (including any special dietary requirements)

 Payment Options
Cheque Invoice       Purchase Order No:

Please note that CIPFA South East is not a commercial organisation and all work is carried out by volunteers. If you are able to pay by cheque that will greatly assist us. Receipts will be issued if requested.


 Do you require a VAT receipt?


Yes No

If the invoicing address is different than that above, please enter it in "Special Requirements". Cheques should be made payable to CIPFA South East.

 How did you first hear about this training course/event?
Training & Events Booklet
Brochure
E-mail
CIPFA Website
Word of mouth
Other (please state)