Stoke Rochford Hall, Grantham, Lincolnshire

Stoke Rochford Hall, Grantham, Lincolnshire

Friday 13th November – Sunday 15th November 2015

Association or Division Use Only
Nominated by:
(NUT Local Association/Division)
Signature of Authorisation
(Secretary/Treasurer of Association/Division*)
Cheque for fee attached / Deduct fee from local subscriptions
* If you are happy for us to deduct payment from your local subscriptions, please email confirming this information.
Title / Name: / Surname:
Address:
Postcode:
Telephone: / Membership No:
Email:
Details of any other special requirements
Please call 020 7380 4861 to discuss any special arrangements
Details of any special dietary requirements
Are you a wheelchair user? / Yes / No
Do you require assistance? / Yes / No
Do you require an induction loop? / Yes / No

CONFERENCE FEE PAYMENT AND PERSONAL DEPOSIT

Applications will only be processed on receipt of conference fee and a personal deposit of £20 from the APPLICANT. The deposit will be returned to the applicant at registration at the conference.
Please make cheques payable to the NATIONAL UNION OF TEACHERS or complete the attached credit/debit card form

• £295 (NUT Members)
• £20 (Personal deposit)

PLEASE NOTE:

• The applicant’s personal deposit will be returned to the delegate at the conference but is not returned if the delegate fails to attend;
• receipts will not be issued unless requested;
• reservations will not be made without full payment;
• we regret that fees cannot be reimbursed if individuals cancel their places, although we will be happy to admit substitutes;
• the Union does not reimburse travelling expenses centrally;
• you should contact your local association if you wish to be nominated by them or if you wish to seek financial support for your attendance; and
• if the event is full, a waiting list is operated. If a delegate cancels and we are able to give the place to another, the first division will not be charged.

Please return to: Black Teachers’ Conference

Hamilton House, Mabledon Place, London WC1H 9BD

Fax: 020 73878458

For enquires please email:

Please complete and return this form as soon as possible but not later than Friday 16th October 2015

Credit/Debit Card Details

Date:

Please tick the amount you wish pay by card:

Conference Fee - £295
Delegate Personal Deposit - £20
Details to be taken from Cardholder:
Card Type
(Please tick): / / /
Card Number:
Valid From / Expires End: / Security Code:
(Last 3 digits on the back of the card)
Cardholders Signature / Date
Cardholder Name:
(As it appears on the card)
Address:
(Billing adress)
Postcode:
Telephone: / Membership No:

National Union of Teachers Headquarters

Hamilton House, Mabledon Place, London WC1H 9BD

Telephone 020 7380 4778 Fax 020 7383 2147

VAT Registration No: 564 3317 44

National Union of Teachers

Black Teachers’ Conference

Friday 13 November - Sunday 15 November 2015

Adjustments Form

DELEGATE NAME:

We are asking for details of the adjustments needed so that we can make every effort to make the event successful for you.

CONFERENCE PACK:

Do you require a large print conference pack?YesNo

Do you require a conference pack electronically?YesNo

Do you require conference information in Braille?YesNo

VENUE ACCESS:

Will you bring an assistance dog to the conference? YesNo

Do you use an induction loop? YesNo

Do you require assistance with stairs? YesNo

Do you use a wheelchair? YesNo

Do you require a British Sign Language interpreter? Please call 020 7380 4795 for further discussions.

HOTEL ACCOMMODATION:

Do you require a room on a lower level? YesNo

Do you require a level entry bath/shower?YesNo

Do you require a vibrating fire alarm alert?YesNo

Do you require specific storage for medication?YesNo

Is there anything else that you want us to tell the hotel?YesNo

If yes, please specify:

Please return to: Black Teachers’ Conference Team

Hamilton House, Mabledon Place, London WC1H 9BD

Telephone: 020 7380 4778 Email: