Conference Booking Form

BOOKING FORM

 

Full Name: ______________________________________________________

 

Organisation: _____________________________________________________

 

Address: ________________________________________________________

 

________________________________________________________

________________________________________________________

 

Telephone number: ________________________________________________

 

E-mail: _________________________________________________________

 

Booking for:

Day 1 (15 June 2015)

Number of persons _____  at £ 100   Total £ ______

Number of students _____ at £   75   Total £ ______

Day 2 (16 June 2015)

Number of persons _____  at £ 100   Total £ ______

Number of students _____ at £   75   Total £ ______

Both days

Number of persons _____  at  £ 150  Total £ ______

Number of students _____ at  £ 100  Total £ ______

Total to Pay                                                  £______

Workshops (NO FEE):

17 June 2015

Visit to Rochester Cathedral

Number of persons: ____

Workshop Politics and Magna Carta

Number of persons: ____

Workshop Discrimination and the Magna Carta

Number of persons: ____

Workshop Migration and the Magna Carta

Number of persons: ____

18 June 2015

Visit to Rochester Cathedral

Number of persons: ____

Workshop Freedom of Conscience and Expression

Number of persons: ____

Workshop The Magna Carta in Education

Number of persons: ____

Workshop Labour Market and Workers’ Rights

Number of persons: ____

19 June 2015

Visit to Rochester Cathedral

Number of persons: ____

Visit to Rochester Castle

Number of persons: ____

 

Please send this form to the Human Rights Office, 49 Saunders Street, Gillingham, Kent ME7 1HX, United Kingdom with a cheque made payable to Human Rights Office.

Or e-mail to: mivandooren@hotmail.com and pay online to:
M.I. van Dooren t/as Human Rights Office
Triodos Bank Deanery Road Bristol
Sort Code 16 – 58 – 10
Account Number 20543174

For payments from abroad please contact mivandooren@hotmail.com