The Institute of Traffic Accident Investigators

Conference 2009

ITAI & EVU Field Day & Conference Registration Form

The Hinckley Island Hotel, A5 Watling Street, Hinckley, Leicestershire LE10 3JA, England

25th, 26th & 27th September 2009

(Please complete a separate registration form for each delegate)

After completion your total amount due will be calculated, then you will be re-directed to our secure payment service where you can pay by debit / credit card.

You must enter your ITAI membership number to be charged the reduced rate.

Name of Delegate:		Membership No (if applicable)
Address:		Membership No (if applicable)
		Company / Police Force:
		Telephone:
Postal / Zip Code:		Email:
Country:		If Sharing, name of 2nd delegate

Room Preference		Special Requests / Dietary Needs
Twin
Double
Family
Children's' Adjoining
Smoking
Non Smoking
Transport required from Hotel to Field Day on Friday Morning