To register for this conference, please complete all sections and return this form (along with appropriate form of payment) to the full address or fax number given at the end.
1. Participant
Surname
(This will be used to generate your badge)
Forename
Title
Address
E-mail
Telephone No
Fax No
Accompanying Person(s) (if applicable)
Further explanitory notes are available.
2. Registration and Accommodation Fees. Circle boxes as applicable.
Fee structure per Participant
Standard Registration Fee (note 1)
Student Registration Fee (note 2)
Full board accommodation at Nightingale Hall without en-suite facilities (note 3 & 4)
Full board accommodation at Willoughby Hall with en-suite facilities (note 3, 4, & 5)
Tutorial fee (Soar / Act)
Nightingale Hall on 1 April and/or 4 April, dinner, bed, and breakfast
Willoughby Hall on 1 April or 4 April, dinner, bed and breakfast
I do not require on-campus accommodation. Dinner only on 1 April.
Extra ticket to Social Evening
Total Payment
(in pounds)
Special dietary needs
Please reserve me a room in a local:
BnB / hotel at approximately 20 / 40 / 66 pounds per night including breakfast (delete as appropriate)
Note 2. Proof of student status required.
Note 3. Some participants may want arrangements to stay in local hotels. If you would prefer this type of accommodation, you should note this on the form and reply as soon as possible.
Note 4. Full board (Breakfast, lunch, and dinner) has been arranged for the period from dinner on 2 April to lunch on 4 April. Includes social evening out, and full use of university pool and sports centre (including tennis and snooker).
Note 5. There are only 15 en-suite facilities available at Willoughby Hall. These will be allocated on a first come, first served basis.
Note 6. Other dining facilities are at least a 20 min. walk away. Lunch and dinner has been arranged for the period from dinner on 2 April to lunch on 4 April. Includes social evening out.
3. Method of Payment
Payment should be made using one of the following methods:
(a) Cheque (UK Cheque or Eurocheque)
A cheque for the appropriate amount should be drawn on a UK bank in pounds sterling. Please note, banks outside the UK may charge for this. A Eurocheque should indicate "Place of issue: Nottingham" and must not exceed a maximum of 699 pounds.
All cheques should be made payable to "Notice Ltd".
Please complete this section if paying by cheque. I enclose a (please tick appropriate form of cheque payment): UK Cheque Eurocheque for the amount of £ ___________
Please complete this section if paying by cheque.
I enclose a (please tick appropriate form of cheque payment):
UK Cheque Eurocheque
for the amount of £ ___________
(b) Credit Card
Card Number
Type of card
Card Expiration Date
Value of transaction
Cardholder's Name
Cardholder's Address
(must be address credit card bill is sent to)
Cardholder's signature
Date of Transaction
Polly Waterfield, Event Management Services, Conference Office, University Park, U. of Nottingham, Nottingham NG7 2RJ, UK Telephone: +44 (0) 115 951-5086 Fax: +44 (0) 115 951-5009
Polly Waterfield, Event Management Services, Conference Office, University Park, U. of Nottingham, Nottingham NG7 2RJ, UK
Telephone: +44 (0) 115 951-5086 Fax: +44 (0) 115 951-5009
Questions (but not forms) can be sent to Polly.Waterfield@nottingham.ac.uk