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WMCMP Conference Registration Form 2019

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Thanks for your interest in attending our 12th Annual conference.

Before you complete this booking form you will need to:

(a) Check whether you are from a Coaching and Mentoring Pool Partner Organisation - Discount’s are available for all employees of organisations who subscribe to the West Midlands Coaching and Mentoring Pool (WMCMP) – if your organisation is listed on the following webpage, you are eligible for discounts:

(b) If not paying by credit/debit card then you will need to Raise a Purchase Order -  Purchase orders should be made out to West Midlands Employers, PO Box 16725, Oldbury, West Midlands B69 9FH. Purchase orders should be emailed to

1. Type of Registration:

Please indicate the type of registration you would like to make by selecting one of the options below: *

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2. Discount Code (If applicable)

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3. Billing Contact Details* (This information is for invoicing purposes) *

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4. Please complete Delegate details if this is an INDIVIDUAL registration. For Group registrations, complete Question 5 instead.

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5. For GROUP bookings Only

Please provide details of Person responsible for Group Registration 

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6. Please complete Delegate Details for GROUP registrations only

Full NameEmail AddressDelegate type i.e. WMCMP coach/mentor, SAG Member, Supervision Facilitator, Internal Coach, Other
Delegate 1
Delegate 2
Delegate 3
Delegate 4
Delegate 5
Delegate 6
Delegate 7
Delegate 8
Delegate 9
Delegate 10
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7. Payment Information

We can accept Card Payments. Our Finance Team is available to do so on 0121 569 2070 (Tues-Fri, 2pm-5pm), so please make a note of this information. Type 'PAID BY CARD' if you are going to make a card payment in the Purchase Order Number field. *

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8. General Information & Cancellation Policy

Payment for the Conference must be received prior to the event.
Please submit purchase orders to

There are cases where the wrong registration type is chosen. Should a change in pricing be the result then we will advise the person responsible for the booking of this.

Invoices will be issued within 2 weeks of receipt of reservation form.

Any cancellations must be received in writing:
  • 4 weeks or less prior to event date - 100% of the fee per delegate is payable.
  • WMCMP Supervision Facilitators only - Failure to attend without providing notice in writing before 31st October 2019, you will be liable to pay £68+VAT for non-attendance.
Alternative delegates may attend to avoid cancellation charges and these delegate changes must be received and agreed by WME in writing prior to the event date. *

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9. Managing Your Information

1. I accept that the details on this booking form will be shared with West Midlands Employers (Conference Organisers)

2. I accept that the names, and organisation of the delegates booked to attend will be shared with all those attending the conference.

3. In addition to the above stated, please read our Privacy Notice which outlines how your data will be managed* *

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10. From time to time WME would like to email you information about our Events and Services that we think may be of interest to you.

Conference speakers and exhibitors often ask if we can share your contact details with them so they can get in touch with information about their services.

If you are happy to receive this information please tick the box below.

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We will be in contact with all delegates at least 2 weeks in advance of the event for them to make their workshop selections and to confirm any access or dietary requirements.

If you have any further comments about your booking now please share them below.

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