Energising London

Thank you for confirming your interest in Energising London

We are keen to tailor your experience of the conference to suit your needs and interests, and so would be very grateful if you could fill out this registration form and short questionnaire.

Please note that we are unable to confirm your place until we have received these details from you.

Question Title

* 1. General information

Organisation

First name

Family name

Email address

Telephone contact

Question Title

* 2. What age bracket do you belong to?

Under 16

17 - 20

21 - 24

25 - 29

30 - 34

35 - 39

40 - 44

45 - 49

50 - 54

55 - 59

60 - 64

65+

Prefer not to say

Question Title

* 3. Which of the following best describes your working status

Student - Full-time Education

Student - Higher Education

Student - Part-time Education

Employed - Full-time

Employed - Part-time

Unemployed - Less than 6 months

Unemployed - more than 6 months

Other (please specify)