This is the booking form for the PiF Annual Conference 2012. Please read the information below before you complete the form.
There are a number of ways that you can pay for your delegate place, but you must complete the booking form regardless of which method you want to use.
If you would like to pay by cheque or BACS (electronic bank transfer), complete the form below and submit it. We will automatically send you an invoice when we receive your booking.
If you would like to pay by credit or debit card, complete the booking form and press the submit button. You will then be given the opportunity to go to a secure payment web site (Pay Pal).
Concession rates are for PiF members only. If you are not a PiF member the full ticket rate applies.
If you come with one or more colleagues from your organisation you will benefit from a reduced rate of 15% on the total cost of your booking (any other discounted rates do not apply). If there is more than one person coming from your organisation please contact Nicole Naylor, PiF's administrator, now and do not complete the booking form.
Click here to view the conference details page
* = required information
Please indicate which Breakout Sessions you would prefer to attend:
12.00-12.50 ABCD
2.40 - 3.30 EFGH
Please make a note of your choice to bring with you to the event. However, please note that we cannot guarantee your first choice.
Please indicate which payment method you wish to use.
Please make cheques payable to: Patient Information Forum Limited. Send to Nicole Naylor, PiF Administrator, Patient Information Forum, 500 Chiswick High Road, London W4 5RG. Please write your name and organisation on the back of your cheque.
For payment: Sort Code 08-92-99 Account No. 65343896 Bank The Co-operative Bank Please send your BACS remittance form as a confirmation of payment
On submitting your registration you will see a PayPal form. Please use this to complete your payment.
Invoice details
An invoice will automatically be sent to the name and address above. If you would like the invoice to be sent to your Finance Department, or if you are providing a purchase order number, please provide details below:
Thinktank Science Museum, Curzon Street, Birmingham, B4 7XG. A map of the venue will be sent with confirmation of your booking.
Tuesday 1 May 2012.
£204 +VAT (£244.80) for PiF members £284 +VAT (£340.80) for non-members from the voluntary and academic sectors and from the NHS £350 + VAT (£420) for non-members from commercial organisations The fee includes lunch, refreshments and a copy of the conference CD.
* You must agree to the terms and conditions listed below before we can accept your booking I have read and agree to the terms and conditions for this event
You must pay for your place before the event, or we will not be able to admit you on the day.
A refund, less a 20% administration fee, will be made if cancellations are received, in writing, at least 4 weeks before the conference. We regret that any cancellation after this time cannot be refunded, and that refunds for failure to attend the conference cannot be made, but substitute delegates are welcome at any time.
You will receive confirmation of receipt of your booking form within 10 days. Further details regarding the event will be sent to you once payment is received. Please contact us if you have not received confirmation 10 days after submitting your booking form.
On receipt of your delegate fee you will receive details of accommodation.
If you are interested in exhibiting at this event, please contact Clementina Taft: Email: conference@pifonline.org.uk
Nicole Naylor, PiF Administrator Email: admin@pifonline.org.uk Tel: 07813 143 384
The information you provide will be held on the PiF database and may be used to update you with the details of other events that we organise. We do not pass your details on to third parties. If you DO NOT wish to receive this information, please tick this box
PiF reserves the right to make changes to speakers and programme without prior notice.© PiF 2012
