SIA Festival booking form - pay by card

Please provide your details below to book your place at our Rebuilding Lives Festival 2023 (pay by card option)*
First name Surname
Company*
Address details*
Address Line 1 Town/city County Postcode
Contact email*
Event terms and conditions and Covid Policy
By signing up to this event you are agreeing to our event terms and conditions and Covid Policy. These can be viewed on our website at: www.spinal.co.uk/events-policies/ Please tick the boxes below to indicate your agreement.
SIA event terms & conditions*
I agree to the SIA event terms and conditions
SIA Covid Policy*
I agree to the SIA Covid Policy
Number of places required. Quantity*
Price: £ 175.00
VAT
£ 0.00
Total cost
£ 0.00
Please provide your card details below:
Card Details
Cardholder Name
Please let us know about any special dietary requirements in the box below.
Please detail any access requirements that it would be useful to know about prior to the event so we can provide the right support on the day.
SIA would like to keep you informed about our campaigning and services, appeals and others ways you can support our work. Your support and involvement with SIA helps us to empower spinal cord injured (SCI) people and their families to live fulfilled lives. Are you happy for us to contact you in the future?*
- Yes please
- No thank you
You can find out more about how SIA uses your data and protects your privacy here: www.spinal.co.uk/sia-privacy-policy.
Name
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Event terms and conditions and Covid Policy