Summer Conference 2011 - Booking form

To book your place at Summer Conference 2011, please complete your details below.

There are various delegate packages available, please see the following table for details.

Package	UKCGE Member Rate	Non-member rate
Full Conference Attendance at both days of the Conference with lunch, refreshments and a delegate pack. Also includes the Conference Dinner on 4th July.	£330	£390
One-Day Conference - 4th July Attendance on 4th July with lunch, refreshments and a delegate pack.	£225	£275
One-Day Conference - 5th July Attendance on 5th July with lunch, refreshments and a delegate pack.	£225	£275
Conference Dinner (Full Conference Delegates) There is no charge for Full Conference Delegates to attend the Conference Dinner on evening of 4th July.	£0	£0
Conference Dinner (One-Day Delegates) Subsidised rate for One-Day Conference delegates to attend the Conference Dinner on evening of 4th July.	£15	£15
Conference Dinner (Guests) Rate for guests of Delegates already attending the Conference Dinner.	£40	£40

Please note that accommodation is not included in any of the delegate packages. For a list of available accommodation close to the Conference venue, please visit: http://www.findmeahotelroom.com/ratecards/ratecard.aspx?rc=RC_UKCGESC11

Delegate Information
	Title *
	If other, please state
	Forename *
	Surname *
	Job Title *
	Institution *
	Address *
	Postcode *
	Email address *
	Telephone
	Fax
Alternative contact
	Please insert contact name and email address below if different from the above. Delegate information will be copied to this person
	Contact Name
	Contact email
Other information
	Please provide any other relevant information (e.g. dietary/mobility requirements)
	Please tick here if you do not wish your email address to be shared with other delegates
	If you do not wish to be added to the UKCGE mailing list (Operated through Jiscmail) please tick here
	To improve communication with your institution, we will inform your Link Member of this booking. If you do not wish UKCGE to contact your Link Member please tick here
	How did you hear about this event?
	If other please specify
Conference Package
	Please select which Conference Package you require *	Full Conference One-Day - 4th July One-Day - 5th July
	Do you wish to attend the Conference Dinner? *	Yes No
	How many additional (guest) Conference Dinner places are required?
Payment Information
	Please note that all delegates will be invoiced. Payment is by cheque, BACS/bank transfer or credit card. Full payment instructions will be included on the invoice. (Please note that credit card transactions are via PayPal and incur a 5% surcharge).
	Please provide the name and address of where the invoice should be sent to, if different from above.
	Invoice Name
	Invoice address
	Invoice email
	Purchase order No.
	Payment Method
Terms & Conditions
	Please note that this booking form is your contract with UKCGE. We require payment within 30 days of the issue of the invoice. Cancellations can be made in writing up to four weeks before the event. In this instance we will make a refund minus an administration charge of £30 per invoice. Unfortunately we are unable to refund any monies after this date and the outstanding delegate fee must be paid in full by the Institution that has made the booking. In the occurrence of an individual being unable to attend, name changes are permissible by arrangement with the UKCGE events officer.
	Please tick this box to confirm that you have read and agree with the terms and conditions above. *