Booking Form

Your details

Conference dates: Thursday 2nd & Friday 3rd July 2009

Fields marked * are mandatory.

* Title:

* Forename:

* Surname:

Institution:

* Address (1):

Address (2):

* Town/City:

* Postcode:

Country:

Telephone no.:

Fax no.:

* E-mail address:

* I give consent for my details to appear on the published delegates list:

Yes
No

Conference rates

There are four packages available:

Full Conference Residential Package - £315.00 (including VAT)

Two day Conference Programme
1 Nights En-Suite Accommodation
All meals
Conference Dinner

Full Conference Residential Package plus accommodation on the Wednesday night prior to the conference - £350.00 (including VAT)

Two day Conference Programme
2 Nights En-Suite Accommodation
All meals (excluding Wednesday evening)
Conference Dinner

Full Conference Non-residential Package - £265.00 (including VAT)

Two day Conference Programme
All meals
Conference Dinner

Day Rate Package - £150.00 (including VAT)

One day Conference Programme
Lunch

* Please select which package you require:

Full Conference Residential Package (£315.00 inc. VAT)
Full Conference Residential Package plus accommodation on the Wednesday night prior to the conference (£350.00 inc. VAT)
Full Conference Non-residential Package (£265.00 inc. VAT)
Day Rate Package - Thursday 2nd July (£150.00 inc. VAT)
Day Rate Package - Friday 3rd July (£150.00 inc. VAT)

For day delegates, please indicate whether you wish to attend the conference dinner. There will be an additional charge of £60 (inc. VAT).

Yes, I wish to attend the conference dinner

Your requirements

Special Needs: Delegates with other needs are asked to contact professional.development@staffs.ac.uk before Wednesday 3rd June 2009 to discuss how their requirements might be met.

Do you have any dietary requirements?

Do you have any additional requirements?

Payment options

Please note that refunds will only be made if notification of cancellation is received by Monday 15th June 2009 and a £15.00 handling fee will be deducted. No refunds will be given after this date. Requests for refunds must be made in writing.

* Please select a payment option:

Cheque (cheques should be made payable to 'Staffordshire University' and should be received no later than Wednesday 3rd June 2009. For payments by cheque, please print out the email confirmation you will receive and send it along with payment/official order to the address at the top of this page.)
Credit Card (please call our Cashiers Office on +44 (0)1782 294412 to make payment)
Invoice (please note: a purchase order number will be required from your institution in order for this to be processed)

If "invoice", please enter a purchase order no or a named contact in case of any queries:

Submit booking

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Booking Form

Contact Details

Full Conference Residential Package - £315.00 (including VAT)

Full Conference Residential Package plus accommodation on the Wednesday night prior to the conference - £350.00 (including VAT)

Full Conference Non-residential Package - £265.00 (including VAT)

Day Rate Package - £150.00 (including VAT)

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