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Booking Form
Title (required)  
Firstname (required)  
Surname (required)  
Institution  
Telephone  
Email Address (required)  
Please confirm your Email (re-type)  
Dietary / Special Requirements  
Day Morning Afternoon Overnight
Monday  
Tuesday
Wednesday
Thursday
Friday

The expectation is that delegates will be accommodated in single rooms, but if demand for the event is high please indicate if you would be willing to share a room?
(We will contact you to discuss this, if it proves necessary)

     
Conference Fees    
Overnight stay (includes day attendance) £50.00 including coffee, lunch, tea, dinner, accommodation and breakfast.

Day attendance £25.00, including coffee, lunch and tea.

     
Contact Details For Payment
All delegates from one institution can be billed together
Contact name for payment (required)  
Department (required)  
Address (required)  
Town / City  
Postcode  
Telephone (required)  
Fax  
Email (required)  
     
Purchase Order Number (optional)

This is only needed if your institution requires that you provide one.

 
Cancellations cannot be accepted after the deadline 25th May 2012 but substitutions can be made at any time.
By submitting this form I agree to HEWIT/WHELF processing personal data contained in this form. I agree to the processing of such data for any purposes connected with my booking.
I do not wish my name to be included in the delegates list (web and delegate pack)