B O O K I N G F O R M

Please complete a booking form for each delegate, in BLOCK CAPITALS

Title / Name / Position
Organisation
Work address
Postal address, if different to above
Telephone / Mobile / Fax
Email [please write clearly] / Confirmation of booking and all further
communication will be conducted by email.
Signature / Date
Is there any way St Mary’s Centre could □ Wheelchair access □ Hearing loop □ N/A
support your attendance at the conference? □ Large font handouts □ Other (please state)
Please indicate any special dietary requirements:

Please note that bookings do not include accommodation.

We have a number of rooms on hold at the Midland Hotel for the night of February 22nd only The Midland Hotel, Peter Street, Manchester, M60 2DS. £135 bed and breakfast, sole occupancy. Call 0161 236 3333 and quote ‘St Mary’s Centre’ by January 6th 2017 to book a room at this reduced price. Please note the Midland Hotel is located very centrally within Manchester City Centre where there are a number of hotels to choose from which are very close by. For more information www.visitmanchester.com/stay

.
UK SARCs
Public Sector
(i.e. Police, Social Care)
Central Government
(i.e. Dept. of Health)
Private Sector (ie employed by private provider) / Both Days Day One Day Two Early Bird Discount – Extended to October 21st 2016
(Two day pass not in conjunction with any other offers)
£380 £270 £270 £280
£399 £280 £280 £320
£450 £300 £300 £400
£470 £320 £320 £420
Every third delegate on any booking made at the same time pays £360 for a two-day pass or £200 for a one-day pass (not in conjunction with early bird discount)
Bookings made by November 22nd 2016
Both days Day one Day two
UK SARCs / £340 £240 £240
Public Sector
(i.e. Police, Social Care) / £360 £260 £260
Central Government
(i.e. Dept. of Health) / £430 £280 £280
Private Sector (ie employed by private provider) / £460 £300 £300
Every third delegate on any booking made at the same time pays £320 for a two day pass or £230 for a one day pass
Bookings made by February 22nd 2017
Both days Day one Day two
UK SARCs / £380 £270 £270
Public Sector
(i.e. Police, Social Care) / £399 £280 £280
Central Government
(i.e. Dept. of Health) / £450 £300 £300
Private Sector (ie employed by private provider) / £470 £320 £320
Every third delegate on any booking made at the same time pays £380 for a two-day pass or £250 for a one-day pass
Charities, voluntary and Third Sector
(Proof of status required ie Charity Commission number or OSCR number) / Per delegate fee with option of free exhibition stand which should be staffed at all breaks
£250 Two days £140 One day Early Bird booked by September 9th 2016
£270 Two days £160 One day If booked on or before November 22nd 2016
£290 Two days £180 One day If booked on or before February 22nd 2017
Charity Commission/OSCR number
Public Sector
Central Government
Private Sector / Group Bookings (5+ delegates booked at same time. Rate per delegate on two-day passes)
£340
£399
£460
Conference evening reception/dinner
Thursday February 22nd 2016 / / £45.00
Three course dinner at the Midland Hotel Manchester.
How did you hear about this event?
What do you hope to achieve/obtain by attending?
PLEASE COMPLETE DETAILS BELOW ACCURATELY FOR INVOICING PURPOSES
Payment details / St Mary’s SARC will issue an invoice and payment can be made by cheque, BACs or credit card. Cheques to be made payable to ‘CMFT’
Invoice details / / Invoice for total £ (Sterling only) to be sent to the person below
Person or organisation to be invoiced / Tel
Purchase order number
(Please provide with the booking form)
Email address
Full address
For Office Use only
Date received
Date email confirmation sent
Dinner attendance / o Yes o No
Invoice req number
Badge
Please return the completed booking form and any purchase orders or cheques to:
Charlotte Batra, St. Mary’s Centre, York Place (Old St. Mary’s Hospital), Off Oxford Road, Manchester, M13 9WL
Tel: +44 (0) 161 701 2322 / 276 6515 Fax:+44 (0)161 276 6028 / / www.stmaryscentre.org
Cancellations must be received in writing before January 8th 2017. Fees will be returned minus a 10% administration charge. No refunds will be made after that date. Programme subject to change.