Name: The Tavistock Institute of Human Relations
Price range: $

If you have any questions please contact Belgirate administrators Leah Ashton-Hurst (l.ashton-hurst@tavinstitute.org) and Rachel Kelly (r.kelly@tavinstitute.org)

Name

First Name

Last Name

Country of residence

Country

Email address

Phone number

Billing address

Address 1

Address 2

City

ZIP / Postal Code

State / Province

Country

Nationality

Gender

Age

Job title / role

Organisation

Please select the role(s) you have taken up at a Group Relations conference.

To attend Belgirate VIII, you must have held at least one staff role at a Group Relations conference. Your place will be cancelled, and a refund issued if you apply and do not meet these criteria.

Please list the conferences you have worked on.

Other

Please let us know about any access requirements you would like us to be aware of.

Terms & conditions

Please confirm you have read our terms and conditions

Payment

After this part of the form is submitted successfully, you will be taken to a payment page to complete your application, this requires payment of the fee in full.

Payment

On submission we will take the full payment of £170. We will be in contact after we have reviewed your application to request payment of the final balance.

Please note, this payment may take a while to authorise due to the amount, and you may be asked for additional authorisation.

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Cardholder Name

Card Number

Expiry

CVC

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