Earth Science Teachers Association Annual Conference

ANNUAL CONFERENCE 2010

22nd to 24th June, Norwegian Police University College, Stavern Conference Centre, Norway

Registration Form

Please complete in block letters and return with payment details to [email protected]

First Last Name: Name:

Gender: Male/Female* Title:

Institute:

Address:

Telephone: Fax:

E-Mail:

Affiliation to Appear on Conference Badge

Conference Fees iIIRG Members Please tick Whole conference (inclusive of en-suite accommodation on the nights of 21st, 22nd, 23rd & 24th of June 2010; Breakfast and lunch on the 22nd, 23rd & 24th of June 2010; Conference Early - £300 dinner on the 22nd of June 2010; Organised boat trip on the afternoon of Thursday the 23rd of (before 5th March 2010) June 2010, followed a ‘mid-summer feast’ with seafood platter; Coffee, tea and other refreshments throughout the conference; Conference pack; Transport (on the 19th of June 2010) from the EAPL Conference taking place the previous week in Sweden (if required by Late - £350 delegates attending both conferences); Transport to conference centre from Sandefjord (after 5th March 2010) Lufthavn Torp on the 21st of June 2010 Tuesday 22nd June 2010 (inclusive of conference day pack, presentations, drinks/refreshments and lunches at the conference centre throughout the day including the £140 conference dinner)

Wednesday 23rd June 2010 (inclusive of conference day pack, presentations, drinks/refreshments and lunches at the conference centre throughout the day including the £140 ‘mid-summer feast’)

Thursday 24th June 2010 (inclusive of conference day pack, presentations, drinks/refreshments and lunches at the conference centre throughout the day) £120

Sub Total £

1 iIIRG Conference 2010 – Registration Form Non-iIIRG Members

Whole conference (inclusive of en-suite accommodation on the nights of 21st, 22nd & 23rd of June 2010; Breakfast and lunch on the 22nd, 23rd & 24th of June 2010; Conference dinner Early - £350 on the 22nd of June 2010; Organised boat trip on the afternoon of Thursday the 23rd of June (before 5th March 2010) 2010, followed a ‘mid-summer feast’ with seafood platter; Coffee, tea and other refreshments throughout the conference; Conference pack; Transport (on the 19th of June 2010) from the EAPL Conference taking place the previous week in Sweden (if required by Late - £400 delegates attending both conferences); Transport to conference centre from Sandefjord (after 5th March 2010) Lufthavn Torp on the 21st of June 2010 Tuesday 22nd June 2010 (inclusive of conference day pack, presentations, drinks/refreshments and lunches at the conference centre throughout the day including the £140 conference dinner)

Sub Total £

Students

Whole conference (inclusive of en-suite accommodation on the nights of 21st, 22nd & 23rd of June 2010; Breakfast and lunch on the 22nd, 23rd & 24th of June 2010; Conference dinner Early - £150 on the 22nd of June 2010; Organised boat trip on the afternoon of Thursday the 23rd of June (before 5th March 2010) 2010, followed a ‘mid-summer feast’ with seafood platter; Coffee, tea and other refreshments throughout the conference; Conference pack; Transport (on the 19th of June 2010) from the EAPL Conference taking place the previous week in Sweden (if required by Late - £200 delegates attending both conferences); Transport to conference centre from Sandefjord (after 5th March 2010) Lufthavn Torp on the 21st of June 2010 Tuesday 22nd June 2010 (inclusive of conference day pack, presentations, drinks/refreshments and lunches at the conference centre throughout the day including the £70 conference dinner)

Sub Total £

Do you require additional accommodation prior to the conference (e.g. for the 19th and 20th of June 2010)? If so, please indicate below:

Saturday 19th of June 2010 Yes/No £50

Sunday 20th of June 2010 Yes/No £50

(for those attending the Masterclass, the accommodation on the 19th & 20th of June is included and there is no requirement for you to book additional nights’ accommodation for these days)

Thursday 24th of June 2010 Yes/No £50

Sub Total £

TOTAL £

2 iIIRG Conference 2010 – Registration Form Note: If you are planning to bring additional guests at any point, or would like to request additional days not already booked on this form, you must contact Trond Myklebust at [email protected] and arrange this separately. Alternatively, you can book your own accommodation separately via the links available at www.tees.ac.uk/iiirg

Payment Details

I enclose a cheque for £______made payable to Teesside University OR:

Please invoice £______to ______at ______

______

I hereby authorise Teesside University to charge my credit/debit card £______Card type (e.g. Visa,/ Mastercard/ Switch)______(AMEX not accepted)

Card number: |_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_| Valid from: |_|_| / |_|_| Expires end: |_|_| / |_|_|

Security No. (last 3 digits on signature strip)……… Issue No. (Switch only):………………

Billing address: ______

Name as it appears on card: ______(this needs to be exact)

Cancellation/Refund Policy (this will be strictly enforced):

Before the 28th of February - 75% refund Between the 1st of March and the 31st of March - 50% refund After the 1st of April - nil refund

The information provided above (your full name, title, organisation and e-mail address) will be used to complete a list of delegates to be distributed at the conference. If you DO NOT want your details to be distributed, please tick the box

For up-to-date information about the conference, please visit the iIIRG website at www.tees.ac.uk/iiirg

Return this form electronically to: [email protected]

3 iIIRG Conference 2010 – Registration Form