Name of Event:
Date of Event:
Title:
Full Name:
Address:
Town:
Post Code:
Country:
Telephone Number:
Payment Options:
Please choose which method of payment:
Cheque Payment Could you make your cheque made payable to: VLV and send to:
Credit Card payment Could you fill in your credit card details.
We take the following:
Mastercard Visa Switch Solo
Which Credit Card Will You Be Using
Name of Person on the Credit Card
Credit Card Number
Valid From
Expiry Date
Issue No (if applicable)
How Many Tickets Needed
Amount To Be Debited
How Did You Find Our Site?:
Any Comments:
I would like to attend VLV’s International conference 24–26 April 2002. Including conference dinner on 25 April: Yes/No
I would like to be considered for a visit to a broadcasting centre on the morning of 24 April: Yes/No
Please send me details of London hotels: Yes/No
PLEASE PRINT AND FAX THIS FORM TO: (44) 01474 351112
Please note: booking is subject to cancellation charge if cancelled between between six and sixteen UK working days before the event and 100% for five UK working days or less. Subsituations are allowed at any time.
Please note: all cancellations must be made in writing by fax or email.
Sorry, we do not have the resources to handle individual programme complaints.
