Booking Form East Midlands Fuel Poverty Forum Thursday 2 May, 9:30-12:30 Name(Required) First Last Job Title Organisation(Required) Email(Required) Enter Email Confirm Email Telephone number(Required)Lunch will be provided, do you have any dietary requirements? Do you have any accessibility requirements that we should be made aware of? Consent(Required) Please tick to confirm you understand the consent below.By registering for a forum you are giving NEA consent to add your name and organisation to an attendance list, and to distribute the attendance list to other forum attendees. Please tick here only if you consent to your email address being shared with other forum attendees. This is for the purpose of promoting networking and collaboration. YES NEA will not add your email address to the attendance list, however should another delegate ask for your email address to contact you for related work purposes, you are consenting to NEA forwarding it on to them.