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
The conference registration fee is £165.

This includes;

Enter amount here:

________

Accommodation Payment Calculation

I would like to book accommodation at the Danubius Hotel Gellert

Check-in Date: __________________

Check-Out Date: _________________

No of Adults: ____________

I would like to book;

Shared (Twin bedded) room
Cost: £47 per person person, including breakfast

x ________ Nights

Single room
Cost £65 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)

_____ Credit Card (subject to 4% surcharge; Amex not accepted)

_____ 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 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. The policy will be rigorously enforced.

Cancellation Policy:

• Cancellation 45 days before the start of the conference = no penalty
• Cancellation within 45-20 days before the start of the conference = 30% of total costs
• Cancellation within 20-7 days before the start of the conference = 70% of total costs
• Cancellation within 7-0 days (including no shows) before the start of the conference = 100% of total cost

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:

__________