Page 1 of 3 Routes to Clean Air 2024 Registration IMPORTANT IES and IAQM members should log in to the Members' Area before completing this form for faster checkout. However, if you are an IES member booking on behalf of someone else, please ensure you log out first. Attendee detailsThis must be the details of the delegate attending this event. Delegate First Name * Delegate Last Name * Delegate Email * Only one registration can be made per email address. If you register more than one delegate under the same email address, only the most recent delegate will be registered, so please use a different email address per delegate. Delegate Mobile Number * The mobile number of the delegate attending this event Employment detailsThese details will appear on the delegate's name badge and in the delegate pack. Job Title * If studying please write "Student". If out of work write "N/A". Current Employer * If studying, please enter the name of the university. If out of work, please write "N/A" What sector do you work in? * - Select -AcademiaConsultancyLocal AuthorityIndustryNGO/CharityStudent/GraduateRetiredOther If working in multiple, please select the primary sector. Please state * Are you happy for your name, job title and organisation to be shared on the delegate list? * Yes No Source How did you hear about Routes to Clean Air? Source: * - Select -IAQMIESAir Quality BulletinSocEnvOther Platform: * - Select -EmailWebsiteTwittereNewsletterLinkedInFacebookWord of MouthOther Please state: Event requirements Dietary Requirements * No dietary requirements Vegetarian Vegan Pescetarian Other Other, please state Do you have any accessibility requirements? * The IAQM aim to provide events which are accessible to all. If you anticipate needing any type of assistance to fully participate in this event, please select 'Yes' and our Events & Training Officer will be in touch with you shortly. Alternatively, you can contact them directly at events@the-ies.org to discuss this privately. Yes No
