active-net Online Europe - Supplier Booking Form December 14th 2021



YOUR DETAILS

If you are booking on behalf of a colleague/s and are not attending active-net please enter your contact details here to be included in communications surrounding the event, you can be removed at any time by emailing claireelkin@leisure-net.org
If you are attending the event please, please complete Q2 & Q6 below and click next to move to Question 8 to complete delegate details.
These are the standard charges (ex.VAT). 1050 euros if booked on or before 15th November or 1350 euros if booked after 15th November.

1. Contact Name


*2. Organisation Name


3. Contact Email


4. Contact Tel


5. Twitter


*6. Address or Invoicing Address


*7. Purchase Order Number