Telecare 2007 booking form

 

For participants from healthcare, social care and third-sector organisations.

Before completing this form please read the event information. If you have any queries please call the booking helpline at Pelican Services on 01932 849290.
 
1. Personal data.
Please fill in every field below (you can use the tab key to move between fields) *required
Title* (Prof/Dr/Mr/Mrs/Ms)
First name*
Last name*
Job title*
Department
Organisation/
company 1*
Organisation/
company 2
Address 1*
Address 2
City/town*
County
Country
Postcode*
Daytime
telephone*		 (include international code if outside UK)
Fax (include international code if outside UK)
Email*  
 
Multiple bookings This is one of from

If you are making multiple bookings please enter the names of the colleagues you are booking for:
Lunch
 

You can pre-book a packed lunch or a finger buffet by selecting the options below.
There will be no facilities for purchasing food and drink at the Lakeside Centre. You may bring your own food to be consumed outside the Centre.

I require a packed lunch, at a cost of £6.90 including VAT

I require a finger buffet, at a cost of £11.25 including VAT 

Special  requirements —
dietary or other
 
Please select your payment method for the lunch
a. I will send a cheque for £6.90 or
I will send a cheque for £11.25

Please make cheques payable to BJHC Limited and send to:
Events Department, BJHC Limited, 45 Woodland Grove, Weybridge, Surrey KT13 9EQ, GB
b. I will pay by credit/debit card.

To pay by credit/debit card please send a fax to Events Department:
+44 (0)1932 830227 with:

  • your card number
  • the card expiry date and, if paying by Switch, the issue number
  • your name as it appears on the card
  • card billing address
  • your signature
VAT Non UK VAT number

Our VAT number is GB 413 5110 08. A VAT receipt will be sent with your confirmation. VAT @ 17.5%.
About you
Please answer the following questions
Are you responsible for purchasing telecare solutions? Yes
No
If yes, are you currently in the process of purchasing a telecare system(s)? Yes
No
or
Are you seeking information prior to purchasing a telecare system(s)?		 Yes
No
Which supplier(s) would you be particularly interested in meeting?

 

  
4. Notes.

Disclaimer: if any of the advertised speakers are unable to attend the conference, the organisers reserve the right, without prior notice, to make alterations and substitutions to the programme. Delegates will have no claim against BJHC Limited.
5. Please read the data consent statement.
Data consent statement

By submitting this form you consent to the use of your personal data by BJHC Limited for the core purpose of running this one-day conference.

In addition (please tick as appropriate):
  I wish to continue to receive information from BJHC Limited about its health informatics events and publications.

 by email      by post/fax

  I wish to continue to receive information about health informatics products, services, events and publications from others through BJHC's database.

 by email      by post/fax
6. Please make sure your entry details are correct, then submit the form.

 

This button clears the form to start again.

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Outstanding quotes
from participants
at Telecare 2006!

"It's the first event of its type that I've attended where I felt compelled to congratulate the organisers before I left. It was excellent."
Senior Development Manager, Housing Association.

"Very Good. The only event of its kind I have come across. A useful blend of presentations and exhibitors."
Marketing Consultant.

"Well run, highly relevant, highly informative."
Project Manager.

"Very well organised event. Useful and informative sessions."
Senior Occupational Therapist, a Lancs NHS Trust.

"This was a useful and very worthwhile event."
Project Officer, Cheshire County Council

"An excellent conference."
Clinical Informatician, Pharmacy

"Excellent — wide range of speakers covering topics from all angles."
Homelink & Sheltered Housing Supervisor, Tamworth Borough Council
 

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