POWER & PLACE CONFERENCE 2nd - 4th October 2009 BOOKING FORM

1. Name and Address Details Name:    Male Female Address: Postcode: Telephone No. Email:

2. Dietary Requirements: all food at the conference will be vegetarian and there are no facilities for cooking meat on site (different fridges required). If you have any dietary requirements or food allergies please state here:

3. Participant Presentations: Sharing examples of good practice. Sunday 10:00 - 11:30 : Would you like the opportunity to make a 15 minute presentation/talk about your own project?    Yes No Please give a brief summary about the topic and the content of your proposed presentation. Please also outline the resources you will need to make your presentation e.g. powerpoint, flip chart etc.

4. Payment (please select an option below): Sorry but all our accomodation is now full. We are still available for day bookings. Day delegate £45.00 - price includes all conference attendance, all meals, but no accommodation. Delegates must organise their own off-site accommodation.