International Seminar 2018 Registration Form (Branches)
Newcastle Crowne Plaza Hotel – Stepenson Quarter,
Hawthorn House, Forth Banks, Newcastle upon Tyne, NE1 3SA
Friday 23 March 5.00 pm – Sunday 25March 12.00pm
Branch delegate registration form
[One delegate per branch who would normally be the Branch International Relations Officer. If the branch wishes to send a black or young member also, we will consider the request. Please contact Luke Ruby to discuss.]
Either post this form (and the cheque for payment, if applicable) to: International Seminar, UNISON Centre, 130 Euston Road, London NW1 2AY, or alternatively, email it to , by Friday 9 March 2018.
Payment
Payment per delegate is: £200 (£100 if no accommodation required). Please choose oneof the following payment methods:
1)Enclose a cheque (made payable to UNISON)with your completed registration form and send it to the address above.
2)Make a BACS transfer with the following details: Sort Code: 60-83-01; Account: 33015774; Reference:International Seminar (please use correct spelling) If you choose this method, please tick this box: □
Delegatedetails
Delegate name (upper case)Branch name and number (upper case)
Delegate position in branch
State region your branch is in
Delegate contact number
Delegate email address**
Approved by branch secretary / Branch secretary’s name (print) and signature here
Registration fee £200 full board
Registration fee £100 no accommodation / Must be included with the registration form
**Confirmation of registration will be emailed to delegate ASAP. Forms without payment will not be accepted. Once the maximum number of places have been allocated, registration will close even if this is before theclosing date.
Delegate accommodation and meals
Accommodation and meals full board2 x B&B (Fri/Sat)
2 x evening meals (Fri/Sat)
2 x lunches (Sat/Sun)
Refreshments Fri evening, Sat am/pm and Sunday am / Included in the full fee of £200
Meals day delegate
2 x evening meals (Fri/Sat)
2 x lunches (Sat/Sun)
Refreshments Fri evening, Sat am/pm and Sunday am / Included in the non-accommodation fee of £100 / Yes/No
Accompanying family (shared accommodation. Partner and up to 2 children)
Partner’s name / Extra cost per night:£20 (B&B only)**
Dinner Friday with delegates / Extra cost £25.00** / Yes/No
Children over 12 years – name and age / Extra cost per night per child: £20 (B&B only)** / Yes/No
Dinner Friday with delegates / Extra cost £25.00** / Yes/No
Children under 12 years – name and age / Free / Yes/No
If you require child care assistance, please contact:.
**to be paid by the delegate to the hotel on arrival
Transport
Branches must cover travel costs. The Crowne Plaza Hotel is located next to Newcastle train station, less than a five-minute walk.
Special requirements
Please state any special requirements (including dietary, access, Braille/large print, loop and any religious requirements):
Is a facilitator accompanying? (YES/NO):
Please note that the registration fee covers the cost of the seminar itself, hotel accommodation and meals taken in the hotel. It does not cover travel or any expenses incurred that are not mentioned here. All additional costs must be covered by the branch.