Cost of Conference:

£275for the whole conference – single occupancy

£220 for the whole conference – shared room

Day Delegates’ rates

(which includes lunch, drinks and craft materials)

Friday & Sunday (half days): £50 each day

Saturday (all day):£80

A small number of bursaries will be available for those with limited funds – please contact Ruth Clark for further details

To book a place at this conference please complete the booking form

and send with a cheque for the deposit of £50

(or the full day delegate conference fee)

Cheques should be made payable to hospice23and sent to:

Ruth Clark

hospice23

41 St Johns Road, Great Wakering, Essex, SS3 0AL

Email:

We will invoice you for the outstanding balance of payment to be paid by

1stSeptember, 2017

If you wish to book more than one place, please photocopy this form and complete a separate booking form FOR EACH person who will be attending.

It may be possible for individuals to book additional accommodation around the time of the conference – please contact Hothorpe Hall directly if this is something you wish to pursue

For terms and conditions of booking please see

hospice23 is a registered company limited by guarantee

Company No: 08321456 (England & Wales) Charity No: 1153909

Enabling, Encouraging & Empowering

hospice23 Conference,Hothorpe Hall October, 12th – 14th 2018

BOOKING FORM

NAME
ADDRESS FOR CORRESPONDENCE
WORK ADDRESS (IF APPLICABLE)
TEL (DAY) (EVE)
EMAIL ADDRESS:
SPECIAL DIET
DISABILITIES WE NEED TO BE AWARE OF
ACCESS ISSUES WE NEED TO BE AWARE OF
ANY OTHER REQUIREMENTS

Please indicate if you are happy for your contact details to be shared with other delegates at the conferenceYES / NO

Please indicate if you are happy for your contact details to be entered onto the hospice23 database YES / NO

Accommodation:

Rooms at Hothorpe Hall are either twin bedded or single. We will allocate rooms initially on expressed need and then on a single-occupancy basis – unless you request to share.

I wish to stay for the whole conference (single occupancy) at a cost of £275

I wish to stay for the whole conference (shared room) at a cost of £220

I wish to share a room with…………………………………………………………………….

DAY DELEGATES (please tick days attending)

Friday £50Saturday £80Sunday £50

12/10/201813/10/201814/10/2018

Please enclose a deposit of £50 or the relevant day delegate fee(s)

(payable to hospice23) with this booking form