<p>Homelessness Symposium 2016 Novotel Cardiff Centre, 19th October 2016</p><p>DELEGATE BOOKING FORM Please complete all sections marked*</p><p>Booker Name* Organisation* Cymorth Member* Yes No (Please select) Invoicing Address*</p><p>Email Address* Telephone No*</p><p>Purchase Order No (optional) Cost per head* £107 + VAT (Members) (please select) £147 +VAT (non-members) </p><p>Delegate Name* Job Title* Email* (please provide an address for each delegate so that updates and joining instructions can be emailed directly)</p><p>Do any of the delegates have dietary, access or other special requirements? * Yes No If yes, please provide details, including name of delegate:</p><p>Please email your completed form to [email protected] with the subject line “Homelessness Symposium Booking”</p><p>Delegate Booking Information Terms & Conditions • Please do not send payment with this booking - you will be invoiced in due Limitation of Liability course. • Cymorth Cymru accepts responsibility for accident, injury or loss suffered whilst attending this event if it is directly due to negligence on our part. • All event and training fees are subject to VAT and are payable upon receipt of an invoice • Delegates are responsible for taking care of their own property.</p><p>• Cancellations made within 5 working days of the date of the course will result • Cymorth Cymru accepts no responsibility for any loss incurred whilst using in the full fee being due. material or information gained at this event. • Earlier cancellations will be charged at 25% of the full fee, plus VAT. Cancellation of Events • Cymorth Cymru may have to cancel an event, in this case we will return • Please retain a copy of this booking for your records. any payments received in advance. We will not refund any other costs you may incur as a result of this cancellation.</p><p>This booking is subject to the usual Cymorth Cymru Terms and Conditions. • The copyright of all material rests with the Cymorth Cymru or the speaker. Registered Charity No. 1116774</p>