Event Booking Form Nigerian Delegates

First name: (for conference roster) **

First name: (for your badge)**

Surname

Position/ Title

Company

Business Address No 1

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Fax

Email:*

Alternative Email:

Annual Turnover:

Business sector (please provide sic code if known)

Total employees as at last year:

Company Registration

Year established

Current International passport number

Qualifications of Participant

Business Address No 2

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

If you were introduced by a friend or member of NILOBF please complete the following

Member Company Name

Name of Friend

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Contact Name

Job Title

Entry Visa to UK

Please tick here if you need entry Visa to UK:*

Yes
No

Payment detail, please tick the relevant box:

Small company

Day 1 £150pp
Day 2 £150pp
Day 1 & 2 discounted fee £250 per person

Please indicate number of persons

Total amount payable for a SMALL COMPANY (fee x number of persons) =

Medium Company:

Day 1 £350pp
Day 2 £350pp
Day 1 & 2 discounted fee £600 per person

Please indicate number of persons

Total amount payable for a MEDIUM COMPANY (fee x number of persons) =

Conglomerate:

Day 1 £500pp
Day 2 £500pp
Day 1 & 2 discounted fee £900 per person

Please indicate number of persons

Total amount payable for a CONGLOMERATE (fee x number of persons) =

Financial institution:

Day 1 £800pp
Day 2 £800pp
Day 1 & 2 discounted fee £1400 per person

Please indicate number of persons

Total amount payable for a FINANCIAL INSTITUTION (fee x number of persons) =

I have read and agreed to the terms and conditions above:

Signature

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Event Booking Form Nigerian Delegates

Business Address No 1

Business Address No 2

If you were introduced by a friend or member of NILOBF please complete the following

Entry Visa to UK

UK – Nigerian Investment Summit