Pinnacle Bid Template V2.6
Extractive sector governance: getting a fair deal for all stakeholders
Monday 2 – Wednesday 4 March 2015 | WP1395Personal information / Title
First name / Initials
Family name
Citizenship
Year of birth / Gender (M/F)
Professional information / Job title
Organisation
Office address
City / Postcode
Country
Tel / Mobile / Fax
Email / Website
Assistant name / Assistant tel / Assistant email
Social media aliases / Twitter / Facebook / Google+
Blog / LinkedIn / Other
Data Protection
Act 1998 / Wilton Park, an Executive Agency of the Foreign and Commonwealth Office, retains the personal contact data of participants in its conferences to keep them in touch with its activities, and for its records and accounts.
Wilton Park may on occasion provide your name and contact details to other like-minded organisations and to Government Departments and public authorities in the UK. Some of these organisations may be outside the European Economic Area, where different data protection legislation may apply.
If you do not wish us to disclose this information, please put a tick in the box.
Individual requirements / If you have any particular requirements (e.g. access; dietary; medical [such as a fridge for medication, a disposal box for syringes]) please give details:
Special meals will only be available to those who have requested one, including the vegetarian option.
It is important to inform us if you are bringing heavy luggage with you. There is no porter service or lift at Wilton Park. Many of the rooms are upstairs and we are unable to carry luggage for you.
Some of our rooms have low ceilings. If you are over 1.8m/6ft tall, please indicate here
Please note accommodation is only available Monday and Tuesday nights inclusive
Travel information / Arrival / Departure
Courtesy vehicle at Gatwick Airport
Monday 2 March 2015 only
Meet our staff at 1145 in the South Terminal
Location map / Courtesy vehicle to Gatwick Airport
1330 on Wednesday 4 March 2015 only
Arrives Gatwick Airport 1415 approx
Train to Shoreham-by-Sea:
Taxis available at the station:
Cost: £25 approx
Journey time: 20 minutes approx / Train from Shoreham-by-Sea:
If you advise us on train time we can organise a taxi for you:
Cost: £25 approx
Private car (please give registration) / Private car (please give registration)
Other arrangements – please give details / Other arrangements – please give details
Arrive at Wilton Park / Depart Wilton Park
Date / Time / Date / Time
Check out is during breakfast on the day of your departure.
For further information on travel, visas accommodation and venue, participation and conference format, please visit our website
Other information / Where did you find out about this Wilton Park conference? Please tick appropriate box
Direct invitation / Via colleague / eNews / Website
Media / Other (please give details)
Invoice
Extractive sector governance: getting a fair deal for all stakeholders
Monday 2 – Wednesday 4 March 2015 | WP1395Conference charge / Amount / £1,460
The conference charge is payable in advance by Friday 13 February 2015 and will act as confirmation of your attendance.
Participant’s name
Payment details / 1. By cheque for £1,460 made payable in advance to Wilton Park Executive Agency.
Only cheques drawn on a UK bank will be accepted.
2. A bank transfer, in advance, £1,460 if transferring from within the EU.
If transferring from outside the EU, £1,470 (£1,460 + £10 to cover UK bank charges) to the account of:
Name of Account: Wilton Park Executive Agency
Account number: 30971774
Bank sort code: 20-98-74
Swift Code: BARCGB22
IBAN: GB26-BARC-2098-7430-9717-74 (please ensure you quote this)
Address: Barclays Bank plc, 1 Chapel Road, Worthing,
West Sussex BN11 1EX, UK
Reference:Your Booking Reference/WP1395/Your Name
The bank transfer document must state your booking reference, the WP conference number and your surname so we can identify your payment.
Please email your remittance advice to
3. By credit card
If you wish to pay by credit card, please telephone the person below. Please do not send your credit card details by email. A receipt will be emailed to you.
Please telephone: Julie Knight on +44 (0) 1903 817764
Please have your card details ready.
Wilton Park accepts Visa and MasterCard.
We regret that we are unable to accept American Express
Please DO NOT send your credit card details by email. Thank you.
4. Purchase order, if applicable, enter your purchase order number
Cancellation policy / Wilton Park will make a charge for any completed registrations cancelled before or during the conference, to cover the costs of administration and cancelling rooms, as follows:
▪ Cancellation 2 weeks, or less, before the start of the conference: 100% cancellation charge
▪ Cancellation more than 2 weeks from the start of the conference: 50% cancellation charge
VAT Registration Number: 888 8135 60