14 Great College Street, SW1P 3RX, London+44 (0) 845 606 1531[email protected]http://publicsectorreform.org

Annual International Conference on Governance,Public Services and Administrative Reform 2009REGISTRATION FORM

Participant Fee

Number of Participants

OneTwo or greater

Fee (GBP)

£895 per participant£795 per participant

Fee (USD)

$1450 per participant$1295 per participant

Fee (EUR)

€1045 per participant€930 per participant

Participant(s) Details

Participant Name

1.2.3.4.5.6.

Position

Code

PSR5

Date

1/12/20092/12/2008

Email Address

Key Contact DetailsName:Organisation:Department:Address:Telephone:Fax:Email:I wish to receive joining instructions exclusively onbehalf of the above mentioned participant(s)

Invoice DetailsName:Organisation:Department:Address:Telephone:Fax:Email:Same as key contact details

Method of PaymentPlease invoice my organisation for a total ofI enclose a cheque forpayable toCentre for Parliamentary Studies LtdI will pay the sum ofby credit card. Please contact me to obtain my details.UK customers aresubject to VAT,charged at 15%

Terms and ConditionsInvoices are dispatched immediately upon receipt of a valid order. Payment is due upon receipt of Invoice. Cancellations will be accepted in writingno later than 30 days prior to the date of the event and are subject to an administrative fee equal to 25% of the applicable per-delegate rate andcharged per cancelled delegate place. Cancellations received within 30 days of the event will be subject to the full delegate fee, which will also becharged in the event of non-attendance. Notwithstanding, delegate substitutions may be issued in writing at any time and will not be subject to anycharge. Personal data collected from this order may later be used to send information about relevant future events. Opt-out requests may besubmitted in writing.

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