Back Annual Conference 2023 – Leicester (Early Bird) Leicester, 4-6 December 2023 Your detailsName(Required) First Last Job Title Organisation(Required) Address(Required) Street Address Address City/Town County Post Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email(Required) Enter Email Confirm Email Dietary and facility requirementsPlease let us know here if you have any specific dietary or facility requirements.Please indicate which meal times you wish to be catered for. Monday Evening (buffet) Tuesday Lunch Tuesday Evening Wednesday Lunch Select AllAdditional Delegate DetailsIf you are making multiple bookings, please complete the information below. Click + to add additional delegates.Additional delegate informationPlease indicate which meals you wish to be catered for by placing an X in the relevant boxes.Full NameJob TitleEmail AddressDietary/Facility requirmentMon eveningTue LunchTue eveningWed lunch Add RemoveIs your organisation an NEA member?You can check if your organisation is a member HERE. Organisations with an ‘E’ beside their name have Enhanced membership and can claim the full discount. Supporting members can claim a partial discount. If you would like to upgrade to Enhanced Membership to claim the full delegate fee discount, or become a Supporting Member for the partial discount, select ‘Upgrade’ below and select the fee appropriate to your organisation.Is your organisation:(Required) Enhanced Member/Business Supporters Group (pays an annual membership fee) Supporting Member (free membership) Not a Member Upgrade to Enhanced Membership NumberIn order to receive the fee discount we need your organisation’s membership number. If you are unsure, please contact brian.hart@nea.org.uk Delegate FeesHow do you wish to pay? Credit/Debit Card Invoice Delegate: Enhanced Member (Community): £280 + VAT QuantityAvailable to Enhanced Members who are a local authority, housing association, Citizens Advice, charity or Community Interest Company. Price: £ 280.00 Quantity Delegate: Enhanced Member (Private Sector)/BSG: £358 + VAT QuantityAvailable to Enhanced Members who are private sector organisations. Price: £ 358.00 Quantity VAT Price: £ 0.00 Upgrade: Delegate Enhanced Member (Community): £280 + VAT QuantityAvailable to Enhanced Members who are a local authority, housing association, Citizens Advice, charity or Community Interest Company. Price: £ 280.00 Quantity Upgrade: Delegate Enhanced Member (Private Sector): £358 + VAT QuantityAvailable to Enhanced Members who are private sector organisations. Price: £ 358.00 Quantity Add NEA Membership Enhanced Membership (Local authority, housing association, Citizens Advice, charity, CIC, not-for-profit) – £75 + VAT Enhanced Membership (Private sector with a turnover less than £500k) – £300 + VAT VAT Price: £ 0.00 Delegate: Supporting Member: £382 + VAT QuantityAvailable to local authority, housing association, Citizens Advice, charity, Community Interest Company and other not-for-profit organisations. Price: £ 382.00 Quantity VAT Price: £ 0.00 Delegate: Non-member: £468 + VAT QuantityAvailable to all organisation who are not Members of NEA. Price: £ 468.00 Quantity VAT Price: £ 0.00 Total Once you click the Submit button you will be directed to PayPal. If you do not have a PayPal account you should select ‘Pay with Debit or Credit Card’. You do not need to have or create a PayPal account.If you would like to upgrade to Enhanced Membership to claim the delegate fee discount you can add the appropriate membership fee below.Delegate FeeCommunity fees are available to charities, local authorities, housing associations, Citizens Advice, and Community Interest Companies.SELECTDelegate: NEA Enhanced Member (Community) – £280 + VATDelegate: NEA Enhanced Member (Private Sector)/BSG – £358 + VATDelegate: Supporting Member – £382 + VATDelegate: Non-Member – £468.00 + VATQuantity (invoice)(Required)012345678910NEA membershipCommunity fees are available to charities, local authorities, housing associations, Citizens Advice, and Community Interest Companies. Enhanced Membership (Community) – £75 + VAT Enhanced Membership (Private Sector) – £300 + VAT Purchase order numberIf you are unable to provide a purchase order number your booking will be confirmed once we receive full payment. Payment should be made within 28 days. If booking after 19 August, payment should be made within 7 days. VAT @ 20% Price: £ 0.00 Total Agreement to the Terms and Conditions.(Required)CANCELLATION POLICY: Cancellations notified on or before 30 September 2023 will receive a 50% refund. Cancellations notified from 1 October 2023, or in the case of a no-show, will receive no refund. I understand and agree to the terms and conditionsCredit Card