2016Impetus-PEF Private Equity Triathlon Corporate Booking Form

Please complete this form to book the specified number of places in the 2016 Impetus-PEF Private Equity Triathlon. After completing the form you will receive an invoice for your entries and will be sent free entry pin codes to allow your participants to enter the event online for free. Your places in the event will not be guaranteed unless payment has been received and participants have successfully entered the event online using their pin codes at least a week prior to the event. Please note the total number of places ordered via this form must be at least 10.

Number of event entries required. Please tick your chosen box or specify your requested amount in ‘Other’:

  • Individual entries, £102 each (£99 + £3 booking fee):

100 places 50 places 20 places 10 placesOther ………………………….

  • Relay places, £201 each (£198 + £3 booking fee):

100 places 50 places 20 places 10 placesOther………………………….

Total Package Cost = £ ______(inclusive of VAT)

YourSignature:

By signing and returning this booking form, I agree that my company is to be invoiced and is to pay for the specified amount of places in the 2016 Impetus-PEF Private Equity Triathlon and understand the terms laid out in this booking form. I also confirm that I am a duly authorised individual who is able to make such a decision on behalf of the company.

Signature: ...... Name:......

Job title: ...... Date: ......

InvoicingDetails:

Name of company: ......

Invoice address: ......

…………………………………………………………………………………………..…………Post Code......

Company V.A.T. Number: …………………………………………..Accounts contact name: ………………………………………………………….

Accounts email address: ……………………………………………..Accounts telephone number: …………………………………………….....

Purchase order required? Yes / No If Yes, please supply a PO number for this purchase: ………………………………………….

Please note: you will be invoiced by the company delivering the event, Human Race, as opposed to Impetus-PEF.

Sponsorship Target:

All participants in the event are encouraged to raise a minimum of £400 to help the work Impetus-PEF do (that’s £1,200 for a relay team of three people). This can be raised by the participants using an online fundraising page or can be donated directly to Impetus-PEF. If you would like to pay this minimum sponsorship amount for your entries in bulk please tick the box below and Impetus-PEF will invoice you separately to the invoice for race places.

Tick here if you would like to pay the £400 sponsorship target per participants to Impetus-PEF:

Please specify if this requires a separate PO number as will be a separate invoice …………………………………………………………

Please return the signed and completed form via email to.