CRCC Community Building Conference booking Please complete 1 booking form for each Organisation Question Title * 1. Organisation Name OK Question Title * 2. Your Name OK Question Title * 3. Your contact number OK Question Title * 4. Your email address OK Question Title * 5. Please choose 2 of the following 3 workshops to attend in the afternoon Are you covered? - avoiding the pitfalls of insurance Community Builds Digital support OK Question Title * 6. Do you have any dietary requirements? Vegetarian Vegan Gluten free Other (please specify) OK Question Title * 7. Tickets are £10.00 per organisation for up to 3 delegates. Please complete the following section for each further delegate that is attending. Delegate 2 Name Delegate 2 Workshop options Delegate 2 Dietary requirements Delegate 3 Name Delegate 3 Workshop Options Delegate 3 Dietary requirements OK Question Title * 8. Payment can be made by Cheque payable to CRCC and posted to CRCC, ClayTAWC, Fore Street St Dennis ST AUSTELL PL26 8AF OR Bacs payment using Sort Code 30-98-76 Bank Acount 01682296 quoting reference CBE followed by your last name. Please tick the payment method you will use. Joining instructions will be sent out on receipt of payment. Cheque Bacs Payment OK Question Title * 9. By completing this form, you understand that wewill keep your organisational and contact details forrecording and monitoring purposes e.g. showingCRCC's work across Cornwall and IOS. The full CRCC privacystatement can be found on the CRCC website or byclicking the link below: https://www.cornwallrcc.org.uk/privacystatement-and-policies/#1516359224962-9e77ad4fda8bTo reassure you that we satisfy the requirementsof the General Data Protection Regulations, we wouldappreciate your agreement to the above by ticking thisbox. If you are unable to do so, please contact us on01872 273952. We will not process any of yourInformation without your agreement.Please tick the box below to confirm that you are happy for CRCC to contact you. I am happy to receive information from CRCC OK DONE.