• 
• 
• 
• 
• 
• 
• 
• 

 

 

 

 

 

 

 

 

 

 

 

Home > Regions Home > Conference for the Regions > Booking Form

Print

Conference for the Regions 2008 - Booking Form

Please note that fields marked with a red dot are compulsory.

If you have any queries or concerns please contact alexandra.cenic@cipfa.org or telephone her
on 020 7543 5781.

1. Attending as
	Please select Channel Islands Council Member Europe Midlands North East North West/North Wales Northern Ireland NSF Republic of Ireland Scotland Scottish Students' Society South East South Wales/West of England Yorkshire and the Humber Staff Member
2. Delegate
Title	Mr Mrs Ms Dr Professor
First Name
Surname
Regional Role	Please select Chair/President Vice-Chair Hon Secretary Treasurer Website Volunteer CPD Adviser Other
Email Address
Job Title
Organisation (Work)
Contact Address
Town
County
Postcode
2. Accomodation Requirements
Select from	Single Occupancy Room 17th and 18th September Single Occupancy Room 17th September only Single Occupancy Room 18th September only Double Occupancy Room 17th and 18th September Double Occupancy Room 17th September only Double Occupancy Room 18th September only No accomodation required - day delegate
Extension of stay into weekend required	No Yes
If yes, please state dates required.
From	DD 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 MM 01 02 03 04 05 06 07 08 09 10 11 12 YYYY 2008 2009 2010 2011 2012 2013
To	DD 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 MM 01 02 03 04 05 06 07 08 09 10 11 12 YYYY 2008 2009 2010 2011 2012 2013
Name of Partner (if attending)
Attending Welcome Reception (evening of Wednesday 17th September) Self: No Yes        Partner: No Yes   Attending Conference Dinner at National Aquarium on Thursday 18th September Self: No Yes        Partner: No Yes   Requiring Lunch on Friday 19th September? Self: No Yes        Partner: No Yes
Special Dietary Requirements (Please state)
Self Partner
Estimated time of arrival in Plymouth with details of route and flight number if relevant.
CHECK LIST
Please print a copy of this completed form for your records.
If you are satisfied with the information you have entered, please now proceed and submit the form.
If you wish to remove all the information you have entered above from the form, please click the 'reset' button.

   ....................................................................................................................

DISCLAIMER | PRIVACY | CONTACT US | SITE MAP | A-Z | SEARCH
JOB OPPORTUNITIES | FEEDBACK | DEVELOPMENT STRATEGY