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Delegate Registration Booking Form

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					DFP 2009 Conference
23rd – 25th June 2009


Delegate Registration Booking Form
To register and book a place at the conference please complete all fields and provide details as you wish them to
appear in delegate documentation and return to:
Emma Kelly, Conference Officer, Conference and Events Management, University of Central Lancashire,
Foster Building Room 10, Preston PR1 2HE, UK
Phone: +44 (0)1772 892654 Fax: +44 (0)1772 892977 E-mail: eakelly1@uclan.ac.uk
Section 1:
Title:           Forename:                                  Surname:
Position:
Company/Organisation/Institution:
Address:
City:                                 Postal code:                 Country:
Tel:                                  Fax:                         (Please indicate if you would not like this to appear in the delegate pack)
                                                 E-mail:
I consent to my email address being given to conference delegates:                            yes        no

Section 2: All Inclusive Conference Rates (inc vat)
Accommodation is not included in the conference fee and must be booked by the delegate separately.
Please tick choice:

   Full Conference BPS Member: £290 BPS Number                               __________
   Full Conference Non Member: £310
   Full Conference Student Rate: £175
   Day Attendance BPS Member: £135                                           TOTAL Amount: £
   Day Attendance Non Member: £155

   Day Attendance Student (Full time Education) Rate: £85
   Conference Dinner: £40 (For day delegates only. For full conference delegates this is included in the cost)
(If you are a BPS Member you must provide your BPS number to confirm the rate. If you are a student you must be in full-time education
and attach proof of this)
Section 3:
To help us to ensure that all delegates are able to participate fully, please let us know about any
requirements you have (e.g. access/dietary)

Section4: Payment Method-

   By Cheque: Cheques should be in Sterling and made payable to ‘UCLan Business Services Ltd.’

   By Invoice: I enclose a purchase order/letter from my organisation and wish to be invoiced (UK delegates
    only)
   By Credit/Debit Card: Please charge my Visa/Maestro* card with the total amount shown here:
   …………………………………………………………………………………………………………………………..

       Card No.:…………………………………………………. Name of card holder:…………………………………

       Valid from date: mm / yy              Expiry date: mm / yy            Issue no:

       Signature of card holder: .........................................   Date: ……………………………………………………

       Address of card holder: …………………………………………………………………………………………….


DFP 2009 / Delegate Registration Form, page 1 of 2
DFP 2009 Conference
23rd – 25th June 2009


Important Notes about Completing this Form
Section 1
    1. Please ensure that if completing by hand you use BLOCK letters.
    2. Your name and organisation/place of study as stated on this form will be used for your badge and the delegate
        list.
    3. Please provide your full postal address including the name of your organisation/workplace.
Section 2
    1. Please ensure you tick the appropriate fee box for the registration category you are applying for.
Section 3
     1. Please ensure that you complete this section for any dietary, access, hearing or mobility requirements you may
          have.
Special Diets
All catering is organised with options to fulfil the requirements of vegetarians. However, we can accommodate most
dietary requirements if these are indicated to us on booking.
Adapted Facilities
All buildings have wheelchair access and various other special facilities. We are happy to clarify these prior to booking on
request.
Section 4
     1. Please note that we cannot accept payments by Diners Club and American Express.
     2. If you require an invoice please complete the details in full and always include a purchase order number.
         We can not issue an invoice without this.
Payment Terms
Returning this form constitutes a firm booking. On completion of the booking form, payment for the conference may be
made by cheque (made payable to UCLan Business Services Ltd) or credit card. Receipts will be issued within twenty
eight days after the conference. On production of a purchase order by the delegate’s organisation, an invoice may also be
raised.
DFP CONFERNCE – IMPORTANT INFORMATION
Conference Fee
                                                                     rd   th     th
The cost of the full conference includes refreshments and lunch on 23 , 24 and 25 June 2009, conference dinner (and
                  th
entertainment) 24 June with full conference documentation. Transfers are also included from Preston Central Travel
Lodge and the Holiday Inn Preston..
Accommodation is not included in the conference fee and must be booked by the delegate separately. Details can
be found on www.uclan.ac.uk/dfpconference2009
The cost of the conference daily rate includes refreshments, lunch and full conference documentation but does not
include accommodation, breakfast or the conference dinner.
Student rates are available for students in full time education and there is a lower rate for BPS members (details of
University/Course and BPS numbers respectively must be provided on the booking form in order to qualify for lower rates).

TERMS AND CONDITIONS
                                     th
1. All forms must be received by 8 June 2009. Bookings will be accepted and confirmed only when full payment or
invoicing instructions have been received. Bookings will not be accepted unless they are made using this official form.
Payment sent independently of this booking form must state details of the delegate and the conference. If you do not
receive a confirmation e-mail of your booking within two weeks of the conference, please contact the Conference Office.
                                                                             rd
2. Cancellation Policy – Any cancellations received up to and including 23 May 2009 will be given a 50% refund. Any
cancellations received after this date, a refund will not be given. Cancellations must be made in writing to
DFPConference2009@uclan.ac.uk Verbal cancellations will not be accepted.
                                                                         th
3. Substitutions Policy – Name substitutions are accepted up to 8 June 2009 and should be made in writing to
DFPConference2009@uclan.ac.uk Verbal substitutions will not be accepted. Packages cannot be shared under any
circumstances.
4. All fees include VAT at 17.5%. Our VAT registration number is 677 3793 76.
5. The information you provide on the booking form will be held on a database to process the confirmation of your place
and so that we can keep you up to date with other relevant products and services provided by the University of Central
Lancashire. We do not pass your details on to any companies outside the University group for marketing purposes. Please
write to Conference and Events Management if you do not wish to receive any mailings.
6. Booking Acknowledgment and Information - Please note that your booking acknowledgement and information will be
sent to you via email approximately two weeks before the start of the conference.
7. Quality Assured - At the end of the conference, you will be asked to complete an evaluation form. To ensure we
maintain a high quality of service, we welcome your comments and suggestions and would ask that you take the time to
complete these details and return them to us.



DFP 2009 / Delegate Registration Form, page 2 of 2

				
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Description: Delegate Registration Booking Form