Inter-Disciplinary.Net

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 £210

This includes;

Enter amount here:

£210

£210

Total

Method of Payment

I wish to pay by;

_____ Cheque (enclosed/to follow)

_____ Bank Transfer

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

_____ Invoice

All cheques to be made payable to: Inter-Disciplinary.Net

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 40 days before the start of the conference = no penalty
• Cancellation within 39-20 days before the start of the conference = 30% of total costs
• Cancellation within 19--14 days before the start of the conference = 70% of total costs
• Cancellation within 14-0 days (including no shows) before the start of the conference = 100% of total cost

Inter-Disciplinary.Net retains the right to alter or cancel this conference and will provide notice as quickly as practicable of any cancellation or material alteration.  Neither Inter-Disciplinary.Net nor its agents or employees will be required to reimburse travel or other costs incurred by participants because of cancellations or alterations of the conference. Refunds for cancellations are subject to the cancellation policy stated in the booking form.

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:

__________