Step 1 of 2 - Delegate Tickets 0% How many tickets would you like to buyYou can select the ticket type within each delegate.12345Please Select A Ticket Type*A Ticket Please note that the discounted rate is only applicable to individuals working directly for academic/government/not-for-profit institutions. Academics/scientists funded by corporate bodies should select a standard ticket. Final ticket prices include VAT at 20%. Standard Ticket: £950 + VAT 20% (£1140) Discounted Ticket: £400 + VAT 20% (£396) Delegate #1In-Person or Virtual - Please select*The Summit will be hybrid, please let us know how you plan to attend. If you are not sure, we will contact you nearer to the event. Attending In-person Participating Virtually Not Sure Yet Dietary RequirementsPlease tell us about any special dietary requirements you have. Select All Vegetarian Vegan No Beef No Pork No Fish No Dairy No Seafood Other - please specify Other - please specify Delegate Name* Prefix Dr.Mr.Mrs.Ms.Prof. First Last Delegate Institution/Organisation*This will be used for badge details (Max 40 Characters) Delegate Job Title/Role*This will be used for badge details (Please try and keep this to 40 characters) Delegate Email*Please ensure that the email address used here is the correct email for the delegate. This is where joining instructions will be sent and is required for using the Summit App. There is space later in the form for you to provide billing/administrative emails. Delegate Telephone*Contact number please. CouponIf you have been sent a discount/student code, please enter it here. This will adjust the price of the ticket. Delegate #2In-Person or Virtual - Please select*The Summit will be hybrid, please let us know how you plan to attend. If you are not sure, we will contact you nearer to the event. Attending In-person Participating Virtually Not Sure Yet Dietary RequirementsPlease tell us about any special dietary requirements you have. Vegetarian Vegan No Beef No Pork No Fish No Dairy No Seafood Other - please specify Other - please specify Delegate Name* Prefix Dr.Mr.Mrs.Ms.Prof. First Last Delegate Institution/Organisation*This will be used for badge details (Max 40 Characters) Delegate Job Title/Role*This will be used for badge details (Please try and keep this to 40 characters) Delegate Email*Please ensure that the email address used here is the correct email for the delegate. This is where joining instructions will be sent and is required for using the Summit App. There is space later in the form for you to provide billing/administrative emails. Delegate Telephone*Contact number please. CouponIf you have been sent a discount/student code, please enter it here. This will adjust the price of the ticket. Delegate #3In-Person or Virtual - Please select*The Summit will be hybrid, please let us know how you plan to attend. If you are not sure, we will contact you nearer to the event. Attending In-person Participating Virtually Not Sure Yet Dietary RequirementsPlease tell us about any special dietary requirements you have. Vegetarian Vegan No Beef No Pork No Fish No Dairy No Seafood Other - please specify Other - please specify Delegate Name* Prefix Dr.Mr.Mrs.Ms.Prof. First Last Delegate Institution/Organisation*This will be used for badge details (Max 40 Characters) Delegate Job Title/Role*This will be used for badge details (Please try and keep this to 40 characters) Delegate Email*Please ensure that the email address used here is the correct email for the delegate. This is where joining instructions will be sent and is required for using the Summit App. There is space later in the form for you to provide billing/administrative emails. Delegate Telephone*Contact number please. CouponIf you have been sent a discount/student code, please enter it here. This will adjust the price of the ticket. Delegate #4In-Person or Virtual - Please select*The Summit will be hybrid, please let us know how you plan to attend. If you are not sure, we will contact you nearer to the event. Attending In-person Participating Virtually Not Sure Yet Dietary RequirementsPlease tell us about any special dietary requirements you have. Vegetarian Vegan No Beef No Pork No Fish No Dairy No Seafood Other - please specify Other - please specify Delegate Name* Prefix Dr.Mr.Mrs.Ms.Prof. First Last Delegate Institution/Organisation*This will be used for badge details (Max 40 Characters) Delegate Job Title/Role*This will be used for badge details (Please try and keep this to 40 characters) Delegate Email*Please ensure that the email address used here is the correct email for the delegate. This is where joining instructions will be sent and is required for using the Summit App. There is space later in the form for you to provide billing/administrative emails. Delegate Telephone*Contact number please. CouponIf you have been sent a discount/student code, please enter it here. This will adjust the price of the ticket. Delegate #5In-Person or Virtual - Please select*The Summit will be hybrid, please let us know how you plan to attend. If you are not sure, we will contact you nearer to the event. Attending In-person Participating Virtually Not Sure Yet Dietary RequirementsPlease tell us about any special dietary requirements you have. Vegetarian Vegan No Beef No Pork No Fish No Dairy No Seafood Other - please specify Other - please specify Delegate Name* Prefix Dr.Mr.Mrs.Ms.Prof. First Last Delegate Institution/Organisation*This will be used for badge details (Max 40 Characters) Delegate Job Title/Role*This will be used for badge details (Please try and keep this to 40 characters) Delegate Email*Please ensure that the email address used here is the correct email for the delegate. This is where joining instructions will be sent and is required for using the Summit App. There is space later in the form for you to provide billing/administrative emails. Delegate Telephone*Contact number please. CouponIf you have been sent a discount/student code, please enter it here. This will adjust the price of the ticket. Total £ 0.00 How would you like to pay?* Pay by Credit/Debit Card Pay by Invoice Contact Name for Booking/Accounts Prefix Dr.MissMr.Mrs.Ms.Prof. First Last Name of Billing Institution/Organisation*Please provide the Name of the Organisation to be billed PhoneEmail Address for Invoice/Receipt Purchase Order NumberIf you have a PO Number that you would like to appear on the invoice, please enter it here Tax VAT CodeIf you have a VAT number that you would like to appear on the invoice, please enter it here Billing Address*Please use this space to provide the billing address for your invoice or registered credit card. 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We may also send you relevant marketing information about other E-Cigarette Summits, under the lawful basis of Legitimate Interest which you may subsequently opt out of (see our full privacy statement below). If you are an individual unattached to a business then we will only send you marketing information if you give us specific consent to. Please indicate whether you are representing a business or attending as an individual. Full details of our terms and conditions and privacy statement can be viewed at https://www.e-cigarette-summit.co.uk/terms-and-conditions/ Representing a business Attending as an individual - interested in other E-Cigarette Summits Attending as an individual - not interested in other E-Cigarette Summits CAPTCHA