Registration Form

Registration deadline is OCTOBER, 30th 2009. It is possible to register after this date-please see Terms & Conditions.

Please kindly complete all fields below to pre-book a place at the WES student conference.

Once completed, please click Submit at the end of this form and your details will be passed to our event registration team. You will be contacted shortly afterwards to take payment and confirm your booking.

Delegate Information

Title Forename * Surname * Email Address * Telephone Number * Mobile Number Organisation Address 1 * Address 2 City * County / State * Postcode / Zip * Country *

All of the above fields marked with a * are required.

University Information

Name of University Course Studying

Registration Options

I wish to confirm a place at the WES Doris Gray Conference, priced at £40.00 inclusive of VAT per person

I understand that accommodation for this event is allocated in twin bedrooms *

I would like to request to share a room with **:

Please Advise of Any Special Dietary Requirements You May Have

Do You Have Any Other Special Requirements (e.g. Disabled Access)

* If you wish to specify another student to share a room with please do so below. If no specified name is given, rooms will be allocated by JC Conferences.

** The student you wish to share a room with must also complete a registration form in full.

Agreed to Terms & Conditions