Ibec Annual Employment Law Conference 2017 Booking Form Note: All field marked * are mandatory. Ibec Annual Employment Law Conference 2017 May11 Date: 11th May 2017 Time: 08:30 - 17:00 Duration: Full day Venue: Croke Park Address: Conference CentreJones RoadDublin 3 Contact details: Name: Job Title: Company: Telephone: Email: Address: County: -Select County- Antrim Armagh Carlow Cork Derry Down Dublin Fermanagh Galway Kilkenny Limerick Longford Monaghan Roscommon Sligo Waterford Wexford Wicklow Co Carlow Co Cavan Co Clare Co Cork Co Donegal Co Dublin Co Galway Co Kerry Co Kildare Co Kilkenny Co Laois Co Leitrim Co Limerick Co Louth Co Mayo Co Meath Co Monaghan Co Offaly Co Roscommon Co Sligo Co Tipperary (TN) Co Tipperary (TS) Co Tyrone Co Waterford Co West Meath (Mid) Co West Meath (West) Co Wexford Co Wicklow Great Britain Other Countries Post Code: Country: -Select Country- Australia Austria Barbados Belgium Brazil Bulgaria Cameroon Canada China Colombia Czech Republic Denmark England Estonia Finland France Germany Ghana Greece Hungary India Ireland Israel Italy Japan Kenya Korea, Republic of Lithuania Luxemborg Malaysia Malta Netherlands New Zealand Nigeria Northern Ireland Norway Poland Portugal Puerto Rico Romania Saint Vincent and the Grenadines Scotland Singapore Slovakia South Africa Spain Sweden Switzerland Turkey United States of America Wales Zimbabwe Postal address for invoice: As per Contact Details above Name: Address: County: -Select County- Antrim Armagh Carlow Cork Derry Down Dublin Fermanagh Galway Kilkenny Limerick Longford Monaghan Roscommon Sligo Waterford Wexford Wicklow Co Carlow Co Cavan Co Clare Co Cork Co Donegal Co Dublin Co Galway Co Kerry Co Kildare Co Kilkenny Co Laois Co Leitrim Co Limerick Co Louth Co Mayo Co Meath Co Monaghan Co Offaly Co Roscommon Co Sligo Co Tipperary (TN) Co Tipperary (TS) Co Tyrone Co Waterford Co West Meath (Mid) Co West Meath (West) Co Wexford Co Wicklow Great Britain Other Countries Post Code: Country: -Select Country- Australia Austria Barbados Belgium Brazil Bulgaria Cameroon Canada China Colombia Czech Republic Denmark England Estonia Finland France Germany Ghana Greece Hungary India Ireland Israel Italy Japan Kenya Korea, Republic of Lithuania Luxemborg Malaysia Malta Netherlands New Zealand Nigeria Northern Ireland Norway Poland Portugal Puerto Rico Romania Saint Vincent and the Grenadines Scotland Singapore Slovakia South Africa Spain Sweden Switzerland Turkey United States of America Wales Zimbabwe Number of delegates: 1 2 3 4 5 6 7 8 9 10 Delegate(s) Delegate 1: As per Contact details above Name: Email: Delegate 2: Name: Email: Delegate 3: Name: Email: Delegate 4: Name: Email: Delegate 5: Name: Email: Delegate 6: Name: Email: Delegate 7: Name: Email: Delegate 8: Name: Email: Delegate 9: Name: Email: Delegate 10: Name: Email: Special Requirements: Note: List delegate's name and any special requirements.