Symposium Event Booking Form

{"elements":[{"isDiscrete":false,"hidden":false,"name":"1233223931409_0.8253540953763701_0.9229159196085563","readOnly":false,"id":15843714,"type":"commentElement"},{"isDiscrete":false,"hidden":false,"name":"First Name","readOnly":false,"id":15824852,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Surname","readOnly":false,"id":15824850,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Job Title","readOnly":false,"id":14055019,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Department","readOnly":false,"id":15824471,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Organisation","readOnly":false,"id":15823540,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Address line 1","readOnly":false,"id":15824854,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Address line 2","readOnly":false,"id":14055475,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Town or city","readOnly":false,"id":15824858,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"County","readOnly":false,"id":14055477,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Postcode","readOnly":false,"id":15824860,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Country","readOnly":false,"id":15824862,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Email address","readOnly":false,"id":14040910,"type":"emailElement"},{"isDiscrete":false,"hidden":false,"name":"Telephone","readOnly":false,"id":15824883,"type":"phoneNumber"},{"isDiscrete":false,"hidden":false,"name":"special requirements","readOnly":false,"id":15601472,"type":"textBoxElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"I consent to my details being included on the participants list and on the Symposium contacts database|I consent to my details being included on the participants list and on the Symposium contacts database|I consent to my details being included on the participants list and on the Symposium contacts database","value":"0-iconsenttomydetailsbeingincludedontheparticipantslistandonthesymposiumcontactsdatabaseiconsenttomydetailsbeingincludedontheparticipantslistandonthesymposiumcontactsdatabaseiconsenttomydetailsbeingincludedontheparticipantslistandonthesymposiumcontactsdatabase"}],"name":"DataProtection","readOnly":false,"id":15824848,"type":"checkboxElement"},{"isDiscrete":false,"hidden":false,"name":"1233160878144_0.9731574202541953_0.3386230273350197","readOnly":false,"id":15824525,"type":"commentElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"Corporate Rate £350|Corporate Rate £350|Corporate Rate £350","value":"0-corporaterate350corporaterate350corporateratepound350"},{"text":"Academic Discounted Rate £150|Academic Discounted Rate £150|Academic Discounted Rate £150","value":"1-academicdiscountedrate150academicdiscountedrate150academicdiscountedratepound150"},{"text":"Student Rate £75|Student Rate £75|Student Rate £75","value":"2-studentrate75studentrate75studentratepound75"}],"name":"Attendance","readOnly":false,"id":15824529,"type":"radioElement"},{"isDiscrete":false,"hidden":false,"name":"1233220167836_0.6421505833712335_0.5107640826392915","readOnly":false,"id":15842024,"type":"commentElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"Day Delegate £80 per day, not including evening dinner|Day Delegate £80 per day, not including evening dinner|Day Delegate £80 per day, not including evening dinner","value":"0-daydelegate80perdaynotincludingeveningdinnerdaydelegate80perdaynotincludingeveningdinnerdaydelegatepound80perdaynotincludingeveningdinner"}],"name":"Day Delegate","readOnly":false,"id":15841980,"type":"radioElement"},{"isDiscrete":false,"hidden":false,"name":"DayDelagateDay","readOnly":false,"id":15824076,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"1233161044078_0.9393158281260799_0.9593446762137066","readOnly":false,"id":15824615,"type":"commentElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"Wednesday 15 April|Wednesday 15 April|Wednesday 15 April","value":"0-wednesday15aprilwednesday15aprilwednesday15april"},{"text":"Thursday 16 April|Thursday 16 April|Thursday 16 April","value":"1-thursday16aprilthursday16aprilthursday16april"},{"text":"Friday 17 April|Friday 17 April|Friday 17 April","value":"2-friday17aprilfriday17aprilfriday17april"}],"name":"Accomodation","readOnly":false,"id":15824598,"type":"checkboxElement"},{"isDiscrete":false,"hidden":false,"name":"1233161087290_0.9098173493690506_0.8611736030082376","readOnly":false,"id":15824721,"type":"commentElement"},{"isDiscrete":false,"hidden":false,"name":"1233160190787_0.7010358789275994_0.06940047628155599","readOnly":false,"id":15824234,"type":"commentElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"bank transfer (we will send you details)|bank transfer (we will send you details)|bank transfer (we will send you details)","value":"0-banktransferwewillsendyoudetailsbanktransferwewillsendyoudetailsbanktransferwewillsendyoudetails"},{"text":"I am sending a Sterling cheque made payable to University of Warwick (Please send to Margaret Parker, address below)|I am sending a Sterling cheque made payable to University of Warwick (Please send to Margaret Parker, address below)|I am sending a Sterling cheque made payable to University of Warwick (Please send to Margaret Parker, address below)","value":"1-iamsendingasterlingchequemadepayabletouniversityofwarwickpleasesendtomargaretparkeraddressbelowiamsendingasterlingchequemadepayabletouniversityofwarwickpleasesendtomargaretparkeraddressbelowiamsendingasterlingchequemadepayabletouniversityofwarwickpleasesendtomargaretparkeraddressbelow"},{"text":"purchase order|purchase order|purchase order","value":"2-purchaseorderpurchaseorderpurchaseorder"}],"name":"Intended Method of Payment","readOnly":false,"id":15842026,"type":"radioElement"},{"isDiscrete":false,"hidden":false,"name":"Purchase order Number","readOnly":false,"id":15824312,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"1233160345588_0.915451854166567_0.3049555696122771","readOnly":false,"id":15824299,"type":"commentElement"},{"isDiscrete":false,"hidden":false,"name":"1233160690194_0.0580874228496967_0.8405864067038438","readOnly":false,"id":15824461,"type":"commentElement"}]}

If you intend to take part in this Symposium please complete the form below as soon as possible. Places will be allocated on a first-come, first-served basis..|If you intend to take part in this Symposium please complete the form below as soon as possible. Places will be allocated on a first-come, first-served basis..

First Name

Surname

Job Title

Department

Organisation

Address line 1

Address line 2

Town or city

County

Postcode

Country

Email address

Telephone

Please note special dietary, accessibility or other requirements below:|Please note special dietary, accessibility or other requirements below:

I consent to my details being included on the participants list and on the Symposium contacts database|I consent to my details being included on the participants list and on the Symposium contacts database|I consent to my details being included on the participants list and on the Symposium contacts database

Confirmation of Attendance (Please choose one of the options below)|Confirmation of Attendance (Please choose one of the options below)

Corporate Rate £350|Corporate Rate £350|Corporate Rate £350

Academic Discounted Rate £150|Academic Discounted Rate £150|Academic Discounted Rate £150

Student Rate £75|Student Rate £75|Student Rate £75

The fee above includes all meals on both days from morning coffee to evening dinner|The fee above includes all meals on both days from morning coffee to evening dinner

Day Delegate £80 per day, not including evening dinner|Day Delegate £80 per day, not including evening dinner|Day Delegate £80 per day, not including evening dinner

Please indicate which day|Please indicate which day

Accommodation requirements (not included in the Symposium fee, cost approx £100 per night)|Accommodation requirements (not included in the Symposium fee, cost approx £100 per night)

Wednesday 15 April|Wednesday 15 April|Wednesday 15 April

Thursday 16 April|Thursday 16 April|Thursday 16 April

Friday 17 April|Friday 17 April|Friday 17 April

NB: Accommodation will be reserved, if possible, but delegates are responsible for their own accommodation costs, including any cancellation charges|NB: Accommodation will be reserved, if possible, but delegates are responsible for their own accommodation costs, including any cancellation charges

Method of Payment|Method of Payment

bank transfer (we will send you details)|bank transfer (we will send you details)|bank transfer (we will send you details)

I am sending a Sterling cheque made payable to University of Warwick (Please send to Margaret Parker, address below)|I am sending a Sterling cheque made payable to University of Warwick (Please send to Margaret Parker, address below)|I am sending a Sterling cheque made payable to University of Warwick (Please send to Margaret Parker, address below)

purchase order|purchase order|purchase order

Purchase order Number

NB: If an invoice is required you must send an authorised purchase order number.|NB: If an invoice is required you must send an authorised purchase order number.

Cancellations 20% of the fee. Non-arrival at the event 100% of the fee. Another person may be substituted from the same institution/organisation as long as the details of the substitute are received in writing. All bookings will be acknowledged by e-mail - if you do not receive confirmation of receipt within three working days contact Margaret Parker (email m.k.parker@warwick.ac.uk). Joining instructions will be sent by e-mail nearer the date of the event. Margaret Parker, School of Law, University of Warwick, Coventry CV4 7AL (e-mail: m.k.parker@warwick.ac.uk) |Cancellations 20% of the fee. Non-arrival at the event 100% of the fee. Another person may be substituted from the same institution/organisation as long as the details of the substitute are received in writing.

All bookings will be acknowledged by e-mail – if you do not receive confirmation of receipt within three working days contact Margaret Parker (email m.k.parker@warwick.ac.uk). Joining instructions will be sent by e-mail nearer the date of the event.

Margaret Parker, School of Law, University of Warwick, Coventry CV4 7AL (e-mail: m.k.parker@warwick.ac.uk)

Privacy notice

Details included here will be stored in the Symposium administration database and the data you provide is used solely to help us improve the delivery of our event.

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. If you wish to submit a data subjects rights request, make a complaint or report a suspected personal data breach, please contact the University’s Data Protection Officer by email at infocompliance@warwick.ac.uk.

Spam prevention

Social Sciences School of Law

Symposium Event Booking Form

Failure to load reCAPTCHA