Clinical Engineering Conference Delegate Booking Form

Clinical Engineering Conference 2025

Conference

Organisation

Address

Postcode

Phone number

Invoicing: If the invoice address is different from that above please enter address below:

DELEGATE 1:

Delegate 1: Name

Delegate 1: Job Title

Delegate 1: Email

Delegate 1: Special Requirements (Dietary / Access)

DELEGATE 2:

Delegate 2: Name

Delegate 2: Job Title

Delegate 2: Email

Delegate 2: Special Requirements (Dietary / Access)

Please tick to indicate your selection:

£135 NHS Early Bird Rate (Booking must be received by 25th July 2025)

£199 Standard Delegate Rate

£250 Commercial Company Delegate Rate*

£120 NPAG BVG Member Rate

NPAG Clinical Engineering BVG Member

Please select to include a car parking space in the nearby Blue Car Park at Stansted Airport**

Invoice me £20 for a car parking space on the 23rd September.

Invoice me £25 for an overnight car park space on the 22nd - 23rd September 2025.

* This rate is for new prospective sponsors and for delegates attending in a sponsor capacity to promote their brand and business.

** The selected parking fee will be included in your invoice. Follow NPAG joining instructions to park correctly & avoid hotel fines.

BOOKING CONDITIONS:

Please visit our website for our full booking conditions: www.npag.org.uk. ALL cancellations must be in writing. Once receipt of your booking form is confirmed a refund will not be made in the event of a cancellation. A substitute is acceptable. NPAG cannot be held responsible for any travel expenses or accommodation costs in the event of a cancellation or postponement of a meeting, workshop or an event. In registering to attend the Clinical Engineering Conference 2025 you will also be added to our NPAG contacts database. You will receive a copy of our monthly NPAG Newsletter and we may also send you more general information about our services, new products and offers. You can update your subscription preferences at any time via info@npag.eastamb.nhs.uk. Your details may also be shared with third party conference speakers, sponsors

or delegates.

Please tick as appropriate:

I do not wish for my contact details to be shared with third party conference speakers, sponsors and delegates

I confirm

I confirm that I have read and agree to the REGISTRATION CONDITIONS and would like to register as a delegate for the Clinical Engineering Conference 2025.

Authorisation Signature

Purchase Order Number

Date

Please tick if PO is being raised/on its way

Clinical Engineering Conference 2025

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