| *Last name |
|
| *First
name |
|
Institution |
|
| Email address |
|
| Telephone
number |
|
| Fax
number |
|
| Correspondence
address |
|
Invoice
address
(if different from above) |
|
| I
am a member of FIL |
Yes
No |
| Special
requirements (dietary/accessibility) |
| Please
indicate any special needs or dietary requirements: |
|
| I wish
to attend the conference as: |
| |
Early
bird cost |
Booking
after 18 April |
|
Resident 30 June - 2 July |
£325.00
member
£375.00 non-member |
£360.00
member
£410.00 non-member |
| (full
conference, all meals and accommodation) |
Day delegate Tuesday 1 July
|
£80.00
member
£100.00 non-member |
£115.00
member
£135.00 non-member |
| (includes
lunch but not dinner) |
Day delegate 30 June - 2 July |
£210.00
member
£240.00 non-member |
£245.00
member
£275.00 non-member |
| (full
conference and all meals) |
Half-day delegate
1 July am
1 July pm
2 July am |
£50.00
member
£80.00 non-member |
£85.00
member
£115.00 non-member |
| (includes
lunch, indicate which half-day) |
Transport to and from airport/railway
and Hotel
There will be two coach departures from airport
and two from railway station, one early and one
mid afternoon.
Details to follow with booking confirmation |
£20.00 |
Cost for partner/spouse
(includes accommodation per night for dinner, bed
& breakfast excludes Conference Gala Dinner) |
£65.00 |
Conference Gala Dinner for partner/spouse |
£20.00 |
| We
will invoice your institution.
Confirmation
of booking will be by email. Please tick this box
if you prefer to be contacted by post.
100% refund for cancellations before 12 May, 25%
refund after this date.
|
Thank you very much for completing this form.
If you have any queries please email Tracey Jackson,
FIL Membership Secretary (tracey.jackson@hertscc.gov.uk) |
guidelines