CQ Celebration Payment Form

Personal Information
Name*
First Last
Phone*
Email*
Organisation Name*
Title / Role
How did you hear about CQ Celebration?*
Payment Information
Ticket Type*
Please let us know which type of ticket you would like to purchase.
Early Bird Discount
£ 0.00
Receive a 10% discount for registering before 20th June.
VAT
£ 0.00
Total
£ 0.00
How Will Payment Be Made?
- Credit Card
- Invoice - Check/Wire Transfer
Credit Card
Credit Card
Card Details
Cardholder Name
Invoice - Check/Wire Transfer
You have selected Check/Wire Transfer as your method of payment.

After submitting this form, you will receive an email confirming your registration within 48 business hours.
Please note that your place is not guaranteed until payment is received.
Address
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Fees and Cancellation Policy
Immediate payment by credit card or within 30 days of registration by invoice. Registration fees do not include travel expenses.

We reserve the right to cancel the event 60 days out if there is inadequate enrollment, and full refunds will be given if we do so.
Acknowledgement of Cancellation Policy*
- I have read and agree to the terms of cancellation

Personal Information