Name:

Organisation:

Address:

E-Mail Address:

Telephone:

Supplementary Information:
dietary,disabled access, large print, induction loop etc)

Choose Delegate Package: (Single Occupancy)	Cost	Select
DTAS Full/Provisional Member - Overnight (includes civic reception, conference dinner & accommodation for Sunday & conference on Monday)	Ł135
DTAS Full/Provisional Member Day Delegate (Monday only)	Ł80
DTAS Associate Member & Not for Profit Community Organisation - Overnight (includes civic reception, conference dinner & accommodation for Sunday & conference on Monday)	Ł185
DTAS Associate Member & not for Profit Community Organisation – Day Delegate (Monday only)	Ł95
Non Member Not for Profit Organisation Regional or National - Overnight (includes civic reception, conference dinner & accommodation for Sunday & conference on Monday)	Ł215
Non Member Not for Profit Organisation Regional or National Org – Day Delegate (Monday only)	Ł135
Private & Public Sector Overnight (includes civic reception, conference dinner & accommodation for Sunday & conference on Monday)	Ł255
Private & Public Sector Day Delegate (Monday only)	£165
Dinner Sunday Evening (already included in overnight package)	£35

Note: Some bursaries are available to help meet the cost of attending the conference.
Please contact Aileen at DTAS for a bursary application form.

Marketplace stands: Part of the Marketplace this year is dedicated to showcasing
some of the services provided in the DTAS membership package but there are still a
limited number of other stand spaces available at a cost of £275 (includes 1 day delegate)

If you wish to reserve stand space please place cross in box. We will contact you with details

Payment	Amount	PO Number	Reciept Req
Please invoice me for the sum of

Please Enter Number From Programme	Seminars & Surgeries Part 1 10:20	Seminars Part 2 11:35	Seminars & Surgeries Part 3 13:55
1st Choice	(From numbers 1-5)	(From numbers 6-10)	(From numbers 11-15)
2nd Choice	(From numbers 1-5)	(From numbers 6-10)	(From numbers 11-15)