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

Conference Registration Fee
The conference registration fee is £155. This includes;

Accommodation Payment Calculation

I would like to book accommodation at the Mercure Nestroy Wien

Check-in Date: __________________

Check-Out Date: _________________

No. of Nights: _________________

No of Adults: _________________

Accommodation Options

I would like to book;

Twin Bedded/Shared Room
£40 per person per night.
This includes breakfast, all taxes, and access to the sauna and fitness facilities.
(When paying by credit card, adjust the number of nights needed under the 'Quantity' option before proceeding to check-out).

YES/NO

Single Rooms
£67 per night.
This includes breakfast, all taxes, and access to the sauna and fitness facilities.
(When paying by credit card, adjust the number of nights needed under the 'Quantity' option before proceeding to check-out).

YES/NO

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

_____ Credit Card (please note: a 4% charge applies to all bookings made by credit card)

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 2 months (60 days) before arrival - free of charge
between 59 and 21 days - 30%
between 20 and 14 days - 50%
between 13 and 7 days - 80%
between 6 days and the day of arrival - 100%

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:

_______________________