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Sponsorship form

Accidents at work 2018

Venue Date Opportunity Price Please tick
Manchester 18 May 2018 Principal sponsor £1400 + VAT
Edinburgh 12 June 2018 Principal sponsor £1400 + VAT
London 14 June 2018 Principal sponsor £1400 + VAT
Belfast 19 June 2018 Principal sponsor £1250 + VAT
Leeds 22 June 2018 Principal sponsor £1250 + 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]