AMT Convention 2010 Booking Form

By amtadmin • Jun 7th, 2010 • Category: Uncategorized

Title(required)
Name(required)
Position(required)
Organisation(required)
Address(required)
Postcode(required)
Telephone(required)
Fax(required)
Email(valid email required)
Additional delegates
Do you wish to book additional delegates?(required)
If 'Yes' complete details below
Name of extra delegate 1
Position
Organisation
Email
Name of extra delegate 2
Position
Organisation
Special Requirements
Do you (or any of the additional delegates) have any dietary requirements? Please provide names and specifications.No (overwrite if applicable)(required)
Do you (or any of the additional delegates) have any any mobility requirements? Please provide names and specifications.No (overwrite if applicable)(required)
Do you (or any of the additional delegates) have any other special requirements? Please provide names and specifications?No (overwrite if applicable)(required)
Convention rates
AMT membership number (if applicable)
Convention -TWO-day passes
AMT Member- £240 Non-Member- £380
Convention - ONE-day pass
AMT member -£135 Non Member- £200
ACCOMMODATION: Good quality, inexpensive B&B accommodation in Chippenham can be booked through the Chippenham Tourist Office. Hotel accommodation can be booked through AMT. See the foot of the form for full details
Study Tours and Workshops
The following section allows you to indicate which Study Tours and Workshops you would like to attend
STUDY TOURS: From the list select your FIRST preference for the Study Tours(required)
STUDY TOURS: From the list select your FIRST preference for the Study Tours(required)
WORKSHOPS: From the list select your FIRST preference for the Workshops(required)

WORKSHOPS: From the list select your SECOND preference for the Workshops

WORKSHOPS: From the list select your THIRD preference for the Workshops

Payment details

We will send you an invoice for the bookings that you have made. Please complete the following details.

Please quote purchase order number or other order details(required)

Attention of:(required)

The invoice should be addressed to (if different from details already given)

Postcode

Payment is required by 15th September 2010. Booking cancellations after 15th September incur a charge of 50% of the fee. Cancellations before 15th September incur a £20 administrative charge.

Thank you for filling out your online delegate booking form

Your booking will be confirmed by e-mail within 7 days of submitting this form.
If you have not received it within 7 days- please contact Anne Buchanan on 01633 411732
You will be sent a full convention programme, a pdf map and accommodation details.
Should you require any assistance or have any questions regarding your booking, please contact Anne Buchanan on 01633 411732 or e-mail: anne@eesolutions.co.uk

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ACCOMMODATION

A wide range of good quality, inexpensive bed and breakfast accommodation is available in Chippenham and we have arranged for the Chippenham Tourist Information Centre to book it for you. You can either e-mail your requirements to: tourism@chippenham.gov.uk or call David Dorey on 01249 665974.

AMT is able to book hotel rooms on your behalf at either the Premier Inn or Stanton Manor. Please e-mail Anne Buchanan at: anne@eesolutions.co.uk