Registration, HEAnet Conference

Please note that early booking is essential as places will be limited, also registration and accommodation will be allocated on a first-come-first-served basis.
Cancellations received after October 8th, 2004 will not be refundable.

1.-Delegate Details

Surname

First name

Address

Organisation

(as to appear on your name badge)

Department

Telephone

Fax

E-Mail Address

WORKSHOPS are limited to 20 attendees per session, pre-registration is required as places will be allocated on a first-come-first-served basis.
Please choose the workshop that you'd be interested in (if any):

Please choose workshop (to be filled in only if you want to attend workshops)

2.- Accommodation

This is a residential conference, to be held at the Radisson SAS in Limerick, where we have reserved rooms for our delegates.

If you have any queries regarding accomodation please contact Conference Partners.

Comments (e.g. special needs, dietary requirements)

3.- Delegate booking

Full prepayment is essential to guarantee your booking.

Full delegate Fee (including attendance at conference, meals, two nights accommodation and gala dinner)
€ 425

Registration fee (including attendance at conference, meals, one night accommodation and gala dinner)
€ 375

Please specify the night you'll require accomodation to be booked

Will you attend the Conference Dinner and Evening event? (mandatory)
(Gala dinner & Entertainment Sponsored by Eircom - Cost included in registration fee)

4.- Payment

Please indicate your chosen method of payment: (mandatory)

Cheque

Please make cheques payable to Conference Partners Ltd., 96 Haddington Road, Ballsbridge, Dublin 4.

Invoice your institution. Please include Purchase Order Number

P.O Number:
Billing Contact:
Department:

Last updated: 25th of June 2004