Booking Form

To download booking form: Please click on the word document at the bottom of the page, save and send to

Please only use this e-mail for booking forms: all other enquiries should be sent to

Fees (please tick as appropriate)



Early Bird (available until 30 June 2011 inclusive) and all Speakers



Standard Fee (available from 1 July until 25 October inclusive)



Dinner at the Natural History Museum, 27 October 2011 (This amount will be refunded should the dinner not go ahead)



Pre-registration reception at Kensington Palace, 26 October 2011

*please note that day rates are not available


Icon Cancellation Policy

  • Before 1 July 2011, a full refund less a £20 administration fee will be made.
  • Cancellations made after 1 July 2011 and before 1 October 2011 will receive a 50% refund.
  • After 1 October 2011, no refunds will be made although a replacement delegate may be sent, new contact details must be forwarded to the office no later than 21 October 2011.


Personal Details


Icon Membership Number:





Telephone (day):                                                        Mobile:


Dietary Requirements:


Additional Requirements: (please list any special health or access requirements)


Are you a speaker at Pest Odyssey?


Payment Details (please tick as appropriate)


Please invoice my organisation – I enclose an official purchase order  

(NB: please note we cannot invoice individual members)


I wish to pay £…………… by credit/debit card (excluding AmEx or Diners)

Name on Card


Card Number


Start Date or Issue Number


Expiry Date


Security Code *





* 3 digit number on the reverse of your card, we are unable to process your payment without this.



Please tick here if you require a receipt


When completed please email this form to  You will receive confirmation of your booking by email within 21 days


Icon Office use only

Date Received


Invoice Sent


Payment Received


Date Processed


Receipt Sent


Confirmation Sent



Pest Odyssey 2011 booking form.doc Pest Odyssey 2011 booking form.doc
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