Residential:  £178 (if paid by 10^th January 2010)

                    OR   £168 (if paid in full by 5^th December 2009)

                        OR   £20 deposit (non-refundable) & balance of £158 by10^th January 2010.

Non-residential Daily Rate:  

            £107 for whole weekend, including lunches & suppers.

            £50 for Saturday only (incl lunch) or £59.50 (incl lunch & supper),

            All to be paid by 10th January 2010

Name: ..............................................................................................................

Address: ..........................................................................................................

.........................................................................................................................

Postcode: ........................Telephone: .............................................

Do you require a single or twin-bedded/double room? .........................................
Do you require lift or wheelchair access? ..................................................
Special dietary or other requirements:

.......................................................................................................................

 

Please print this form on A4 paper and send the completed copy plus cheque (payable to QUG) to: 

Conference Applications Secretary, Sue Randall, 63 Cliffe Way, Warwick, CV34 5JG.

E-mail: sue@cliffeway63.freeserve.co.uk