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Bicon 2001 Booking Form

Coventry 25th – 27th August 2001

Please return completed forms to: BM BiCon, London, WC1N 3XX


Name:

Address:


PostCode:

Telephone no:

E-mail:


Income
Registration
Accommodation
Registration Fee:
£
Sat & Sun Fri Night
A
Unwaged

£25

£33

£17

Accommodation Fee:
£
B

< £12,000

£30

£38

£19

C

£12 – 17,00

£35

£43

£22

Donation:
£
D

£17 – 22,000

£40

£48

£24

E

£22-27,000

£45

£53

£27

Total:
£
F

> 27,000

£50

£58

£29


(_) I really don’t mind if you pass my details on to the BiCon 2202 team.
(_) Please send me details of hostel, hotel and B&B accommodation.
(_) I want to apply for the equality fund and enclose details about why I have applied.
(_) I have access difficulties and need a ground floor room.
(_) Please send me details of wheelchair accessible accommodation.
(_) I am paying the residential rate and would like a catered breakfast.
(Please indicate over leaf if you are vegetarian or have special dietary needs)
(_) I am deaf/partially hearing and need sign language interpretation
(Please specify which language)
(_) I would like crèche accommodation for __ children aged ____.
(We will contact you about this when crèche arrangements have been finalized)


(_) I would like to be a gopher/help on the registration desk/stalls
(_) I would like to volunteer to help in the crèche. *
(_) I am a qualified counselor, and would like to help. *
(_) I am a qualified first aider and would like to help. *
(_) I can offer sign language interpretation (please specify which language). *

* N.B. proof of qualifications may be asked for.

(_) I would like to run a session or can help with some other specific aspect of BiCon (please provide details).




BICON® is a registered trade mark of BiCon Continuity Ltd, and is used with permission.