Learning Solutions

Personal Details

First Name: ____________________ Surname: _______________

Address: _________________________________________________

________________________________________________________

________________________________________________________

________________________________________________________

Country: ____________________ Post/Zip Code_______________

Tel: ____________________ Fax: __________________

E-mail: _________________________________________________

Conference Details

Please tick as appropriate. I wish to:

____Present a paper (of no more than 20 minutes duration)

____Chair\participate in a panel discussion

____Conduct a workshop

____Participate in some other way (Please specify):

Conference Payment Calculation

Registration Fee: £105
includes

• conference registration fee
• copy of the eBook
• copy of the themed hard copy volume
• access to post-conference project materials.
• access to the project email discussion group

Enter amount here:

________

Accommodation Payment Calculation

I would like to book accommodation at the

Hotel William
Meteor Plaza
Hotel Kampa
Hotel Charles
(please delete as appropriate)

Check-in Date: __________________

Check-Out Date: _________________

No of Adults: ____________

I would like to book;

Shared (Twin bedded) room

Cost: _______ per person person, including breakfast

x ________ Nights

Single room

Cost _______per night, including breakfast.

x ________ Nights

________

________

Total

Method of Payment

I wish to pay by;

_____ Cheque (enclosed/to follow)

_____ Bank Transfer

_____ International Money Order (enclosed/to follow)

_____ Travellers Cheques (enclosed/to follow)

_____ Invoice

All cheques to be made payable to: Learning Solutions

Please note: all fees must be paid prior to arrival at the conference. Delegates with unsettled invoices will not normally be granted access to the conference.

Important: Cancellation Policy

Before proceeding any further, please carefully read this cancellation notice. By signing this form you consent to accepting the cancellation policy and agree to be bound by its terms.

Cancellation Policy:

Until 40 days before arrival - free of charge
between 40 and 15 days - 50% of total costs
between 14 and 8 days - 70% of total costs
between 7 days and the day of arrival - 100% of total costs

Signature

_________________________

Please send the form to Dr Rob Fisher at the address shown at the top of the booking form.

Thank you very much

Date:

__________