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Booking Form

Please write in BLOCK CAPITALS. If you are applying for more than one programme, please photocopy this form and use a separate form for each programme. Please read Conditions of booking on the reverse of this form and contact us if necessary.
Please indicate what you are booking from drop down menu:
Code:
Booking Date from:
Booking Date To:
Please tick as appropriate Fee for this meeting only
price
For office use only
Booking date:
Booking number:
Name:
Delegate Details
Delegate's Title:
Delegate's Surname :
Delegate's Forenames :
Delegate's Signature :
Delegate's Organisation :
Delegate's Date of birth :
Delegate's Job title :
Delegate's Address :
Delegate's Postcode :
Delegate's Phone number :
Delegate's emaill address:
Do you have disability requirements? : Yes No
If so, what are they? :
Payment Authorisation
We will not accept booking forms unless they have been authorised for payment. I confirm the programme fee will be paid by the employing organisation.
Authoriser's Title:
Authoriser's Surname :
Authoriser's Forenames :
Authoriser's Signature :
Authoriser's Organisation :
Authoriser's Date of birth :
Authoriser's Job Title :
Authoriser's Address :
Authoriser's Postcode :
Authoriser's Phone number :
Authoriser Email address :
Name and address for invoice (if same as above, please tick this box )
Contact name :
Organisation :
Address :
Postcode :
How to book:
You can book online at: http://www.vadm.co.uk/pages/booking-form.php

You can reserve a place on any programme by phoning:

+44 (0)20 86744500

If you have made a phone reservation, please record your booking number here.

To guarantee your place, we need to receive your completed booking form within ten working days from the date you make the reservation.

If we do not receive your booking form, you may lose your booking.

Phone: 02086744500
Or you may post this form to us at:

F3, 1 Fairbourne Road, London, SW4 DG
    

Conditions of Booking

• We will not accept booking forms unless they have been authorised for payment.

• When we have accepted the booking on this form, you are liable for the relevant programme fee or cancellation charge. If we confirm a place on your 2nd-choice programme date given on the form, we will consider this as a firm booking and these conditions will apply.

• We will confirm telephone reservations only after receiving a booking form that is authorised for payment. We must receive this within ten working days from the date you make the reservation to guarantee the place. You must also record the temporary booking number we give you on the front of the booking form in the space provided.

• If you withdraw from a confirmed booking, and your place is not taken by someone else from your organisation when you withdraw, you must pay a cancellation fee. Unless otherwise stated against an entry for a programme, seminar, conference, or event. These fees are:


Notice of cancellation

Percentage of programme or transfer price charged

Number of days/weeks before event due to start

29 days or more

15 to 28 days

1 to 4 days

On the start date or later

10%

50%

90%

100%

(Number of days/weeks before the programme is due to start)

• We can issue invoices for advanced payment if you ask us to. Cheques and payable orders should be made payable to: VADM Centre for Ethnic Minority Mental Health (VADM CEMMH) and we will send you an invoice acknowledging payment within one week. Otherwise, we normally despatch invoices within a month following the programme start date.

• We reserve the right to alter prices from those published.

• We reserve the right to run programmes at a different venue from the one specified, when necessary. If this is the case we will tell you as soon as possible and provide you with information about accommodation, travel directions and so on.

• We reserve the right to amend or cancel any event or event times and dates. This includes changes to speakers, content and programme. In the unlikely occurrence of an event, seminar, therapy session, or workshop cancellation, VADM Centre for Ethnic Minority Mental Health (VADM CEMMH) will return any payments received in advance. VADMCEMMH will not, however, refund any costs incurred as a result of this cancellation.. Where circumstances force us to cancel a programme, our liability will be limited to refunding any fees paid for that particular programme. We are not liable for any other loss incurred by you.

 

• Please follow your internal procedures when applying for programmes.

Independent equal access

• If you indicate on the booking form that you have any requirements due to a disability or any other reason, we will contact you at least six weeks before the programme starts to discuss your residential requirements and any other programme requirements. You can also contact VADM Centre for Ethnic Minority Mental Health on 02086744500, or by email at: info@vadm.co.uk

Limitation of liability

• VADM Centre for Ethnic Minority Mental Health does not accept responsibility for accident, injury or loss suffered while attending events unless it is directly due to negligence on its part.

Privacy and data protection

• We do not sell trade or rent your personal information to others. We will add your details to our database to process your booking and so that we can keep you up to date with relevant details of our services.

If you do not want to receive any further information from us by post, phone or email, please contact us at: info@vadm.co.uk or call 02086744500