Newport Beach Marriott Hotel & Spa - Thursday 5th November - Saturday 7th November 2009

Event Registration

To ensure that we account for all your requirements please complete all relevant parts of the form.
Please note that a separate registration form must be completed for each attendee.

If you have any queries about your booking please contact the DownsEd Education Conferences Office on
Tel: +44 (0)1323 637718, Fax: 949 798 0511, Email: downsed@confpeople.co.uk

Attendee Details
Title:	e.g. Mr/Mrs/Miss/Dr
* First Name:
* Last Name:
Job Title:
Organisation:
Correspondence Address – This will be used for all future correspondence
* Address 1:
Address 2:
* Town/City:
State:
* Postcode:
Country:
Contact Details – Please include all area codes
* Tel No:
* Fax No:
* Email:
Invoice Address - Once you submit your booking form you will have the option to pay by Invoice or by Credit Card. Please supply your invoice address if different from above.
Contact Name:
Organisation:
Address 1:
Address 2:
Town/City:
State:
Postcode:
Country:
Purchase Order Number (if applicable):
Email address:
Currency - All prices are quoted in US Dollars.
Delegate Package - Please select the relevant delegate type below:
2 day track for professionals: (Thursday / Friday)		Standard rate. $550.00
1 day track for families: (Saturday)		Standard rate. $250.00
Promotional Code - Please enter your discount code or DownsEd Supporters' Club code.
	If entering a promotional code please click check code before submitting. Checking... The delegate fee is: Please choose a package first. The promotional code you have entered is invalid. Currently unable to check the promotional code. Please try again later.
DownsEd Supporters' Club
Join the DownsEd Supporters' Club today for a 10% discount on fees and much more. For further details visit www.downsed.org/supporters
Do not add:
Individual Membership:		$48.00
Family Membership:		$95.00
Professional Membership:		$95.00
Organisation Membership:		$190.00
Workshop options
2 day Track for Professionals - Thursday / Friday:	Please Select Early Years Track (0-5 years) Childhood Track (5-11 years) Adolescence Track (11-16 years) Speech and Language Track
1 day Track for Families - Saturday:	Please Select Early Years Track (0-5 years) Childhood Track (5-11 years) Adolescence Track (11-16 years)
Dietary Requirements – If you have any special requirements with regard to your diet, please tick below. Please be very specific.
	Vegetarian
	Vegan
Other: (e.g. nut or wheat allergy / kosher / Halal / diabetic) PLEASE BE VERY SPECIFIC	None
Personal Requirements
Please indicate any other personal requirements.	None
Accommodation Requirements - We have secured a special rate of $184 with breakfast or $169 excluding breakfast, per person per night at Newport Beach Marriott Hotel & Spa (Prices are exclusive of applicable taxes). Please select your overnight accommodation requirements below. (All room incidentals are at individual’s expense and are to be settled on departure.)
Not Required:
Including breakfast:		$184.00 (+10% local Tax) $202.40
Excluding breakfast:		$169.00 (+10% local Tax) $185.90
Wednesday 4th November:
Thursday 5th November:
Friday 6th November:
Saturday 7th November:
If you have accommodation requests not allowed for above (e.g twin room, additional dates required), please complete details here. You will be invoiced separately for this accommodation.	None
Booking Terms and Conditions
Please click here for full Terms and Conditions. I confirm that I have read the registration terms and conditions and wish to continue with this booking.  *