The Social Media Influence Conference

June 4th 2008

Formerly Blogging 4 Business

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Please complete your details in the form below.

Your contact details

Title
Forename(s)	*
Surname	*
Job Title	*
Company name	*
Address	*
Postcode / Zip	*
E-mail	* (Complete your email address and we will confirm your registration)
Tel	*
Fax

Purchases

Place	Price inc VAT	Places
Delegate fee - £495.00 plus VAT	Price £581.63
Gorkana PR - Client Discount £395.00 plus VAT	Price £464.13
Chinwag subscriber discount £395.00 plus VAT	Price £464.13
StrategyEye subscriber discount £395.00 plus VAT	Price £464.13
WOM UK member discount £395.00 plus VAT	Price £464.13
Pre-order The Book	Price £34.37

Payment method
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Other place details

If you have selected multiple places to qualify for the discount above please complete the names, job titles and contact details for all other delegates in the field below.

Data Protection

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