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