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Sponsorship form

Personal injury update - autumn 2018

Venue Date Opportunity Price Please tick
York 5 September 2018 Principal sponsor £1250 + VAT
Newcastle 6 September 2018 Principal sponsor £1400 + VAT
Edinburgh 7 September 2018 Principal sponsor £1250 + VAT
Manchester 19 September 2018 Principal sponsor £1850 + VAT
Liverpool 21 September 2018 Principal sponsor £1550 + VAT
Exeter 25 September 2018 Principal sponsor £1400 + VAT
Bristol 26 September 2018 Principal sponsor £1250 + VAT
Birmingham 27 September 2018 Principal sponsor £1550 + VAT
Nottingham 28 September 2018 Principal sponsor £1400 + VAT
Swansea 1 October 2018 Principal sponsor £1250 + VAT
Dorchester 8 October 2018 Principal sponsor £1250 + VAT
Gatwick 10 October 2018 Principal sponsor £1250 + VAT
London 11 October 2018 Principal sponsor £1850 + VAT
Belfast 17 October 2018 Principal sponsor £1400 + VAT
Blackpool 18 October 2018 Principal sponsor £1400 + VAT
Name  
Firm   Address  
Email  
Tel   Fax  
Additional requirements
(including dietary)
 
Please note that all dietary requirements can be catered for with prior notice, although if there is an additional charge for this by the venue or this has to be sourced externally, the charge will be passed onto the sponsor
I enclose a cheque for £ payable to APIL
Please charge my credit/debit card with the amount of £
Please note that all credit card transactions will be subject to a £2.50 booking fee
My card number is:        
Name on card   Valid date   Expiry date  
Address     Security code  
Signature  
Date  

By sponsoring for this event, you are confirming that you have accepted APIL’s terms and conditions which can be found at www.apil.org.uk/advertising-opportunities

Please return your completed form to: APIL, 3 Alder Court, Rennie Hogg Road, Nottingham, NG2 1RX
Tel: 0115 943 5400 | Fax: 0115 958 0885 | Email: [email protected]