CEDAR Conference Booking Form - Payments by Cheque or Invoice Only

Please use this form for payments by Cheque or Invoice.

For Credit and Debit Card Payment please use Online Booking Form.

Title

First Name

Surname

Do you wish to receive information from us by Post or by Email.

REGISTRATION FEE (including lunch)

Standard Fee - £95.00

Total Conference Fee in Pounds Sterling

METHOD OF PAYMENT

I will be sending a cheque made payable to ‘The University of Warwick’. Cheques can only be accepted in pounds sterling.

Please send an invoice to the following address.

Purchase Order No.

Name of Local Authority to be Invoiced. If not a Local Authority please give details of your Finance Office

Address line 2

Address line 3

Town or city

Postcode

County

Country

Telephone

Fax

CONTACT DETAILS

If you wish to receive correspondence by post please enter full postal address.

FURTHER INFORMATION

Please state if you have any special Dietary requirements or disability arrangements we need to know of.

CANCELLATIONS Notification of cancellation should be sent in writing to the conference organisers at CEDAR.conference@warwick.ac.uk - Up to 1st May 2011 the registration fee will be refunded less a £35 administration fee. - After 1st May 2011 no refunds will be made.

Privacy notice

This form is anonymous. No data which personally identifies you is collected on the form, and the data you provide is used solely to help us improve the delivery of our courses.

The University of Warwick is the Data Controller of any information you have entered on this form and is committed to protecting the rights of individuals in line with Data Protection Legislation. The University’s Data Protection webpages provide further information on your rights and how the University processes personal data. Please submit any data subject rights requests to infocompliance@warwick.ac.uk or address any complaints or suspected breaches to the University’s Data Protection Officer at DPO@warwick.ac.uk.

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