BOOKING FORM FOR IHRSA CONVENTION

Registration Fees for IHRSA Convention

Registration details Registered by 28

February Registered

after 28

February

Number of people

attending

Total Cost

4-Day Registration

• Non-Member • IHRSA Member

$895 $695

$995 $795

3-Day Registration • Non-Member • IHRSA Member

$850 $650

$895 $695

2-Day Registration • Non-Member • IHRSA Member

$650 $450

$725 $525

1-Day Registration • Non-Member

• IHRSA Member

$475

$275

$500

$300

4-Day Executive Pass • Non-Member • IHRSA Member

$650 $450

$725 $525

Social Pass

• IHRSA Member Only

$275

$300

Trade Show Only $30

$50

Total payable to FIA: $

Please provide names of any additional attendees:

1. ____________________________________________________________________

2. ____________________________________________________________________ 3. ____________________________________________________________________

Payment for all events should be made on completion of this form below. Please tick your chosen payment method:

Credit/Debit Card Please enter your details below.

Cheque Please make cheques payable to “Fitness Industry Association Ltd” and post asap to the address below along with this booking form.

Card Type: □ Visa □ Electron □ MasterCard □ Maestro Card Number:

Start Date: Expiry Date:

Issue No: Verification Code ______ (last three digits on the back of the card)

Name on card:

Cardholders Signature:

Address details (if you require a receipt):

Fax/post/email your completed form using the details below. Your booking will be confirmed via email within

5 working days of receipt of your booking form and payment details. FIA, Castlewood House, 77-91 New Oxford Street, London, WC1A 1PX

Tel: 020 7420 8564 Fax: 020 7420 8561 Email: jessica@fia.org.uk website: www.fia.org.uk

NAME: IHRSA NO:

CLUB/COMPANY: FIA NO: