10 Mar 2010

 

Please fill in all of the information below
 

Most of our events are free, but sometimes we have to cover the cost of hiring a venue and providing catering. Once you have completed this form you will then be taken to a final confirmation page. If there is a charge please click the Pay Online button to complete your ticket purchase via the secure Worldpay website.
Title First Name Surname
Company
Address
Postcode
Telephone
Mobile
Email
Website
Source
Organisation Type
Delegate 1 @ £+vat
Afternoon workshop None
Public sector workshop
SME workshop
Retail workshop
Booking Contact
Delegate Name


Data Protection Act 1998. Contact details, submitted in response to this communication, will be held electronically on our record system for administrative purposes, and not passed to another organisation without your permission. If you no longer wish to receive information about this and other services provided by Hampshire Broadband, please tick this box.