Health Conference Booking Form

Title

First name *

Last name *

Organisation

Job title

Email *

Phone no *

Invoice addressee
If different from the delegate

Invoice addressee's phone no

Invoice addressee's email

Invoice address (1) *

Invoice address (2)

Invoice address (3)

CIty *

County

Postcode *

Purchase order no.
If applicable

Are you or your organisation a direct member of the Social Enterprise Coalition?

Yes
No

Please select the appropriate delegate fee category

Coalition member: £99.00 + VAT (£17.33) = £116.33
Social enterprise: £119.00 + VAT (£20.83) = £139.83
Reduced fee (Charity, voluntary, academic): £149.00 + VAT (£26.08) = £175.08
Full fee: £199.00 + VAT (£34.83) = £233.83

Breakout sessions

Please indicate your first and second choice options for both the morning and afternoon sessions. Places are allocated on a first-come, first-served basis.

Breakout sessions (AM): First choice

SE 101 - An introduction to social enterprise for beginners
Market Development – The future of health and social care markets
Personalisation – what it means for the future of health and social care

Breakout sessions (AM): Second choice

SE 101 - An introduction to social enterprise for beginners
Market Development – The future of health and social care markets
Personalisation – what it means for the future of health and social care

Breakout sessions (PM): First choice

Right to request
Social enterprise: An expert’s opinion
Total place – cutting duplication, saving money and improving service delivery working with social enterprise

Breakout sessions (PM): Second choice

Right to request
Social enterprise: An expert’s opinion
Total place – cutting duplication, saving money and improving service delivery working with social enterprise

Dietary requirements

Vegetarian
Other (please specify below)

Please specify any other dietary requirements

Personal requirements
E.g. disabled access

Would you like more information on joining the Social Enterprise Coalition?

Yes
No

Would you like to receive information on future Coalition events?

Yes
No

If yes, which areas would you be interested in?

CICs
Health & Social Care
Black, Asian & Minority Ethnic
Social Enterprise Ambassadors Programme
The Social Enterprise Awards
Voice - The annual conference for social enterprise
Youth justice
Employment

Terms and Conditions *
Please confirm that you have read the registration terms and conditions at the top of this page and wish to continue with this booking.

Future correspondence
If you do not wish to receive future correspondence from SEC regarding future events or developments, please tick here.

Promotional code

Enter the 4-digit code below *

* Denotes required field.

Health conference, 16 March 2010

Events