Conference Registration Form


Conference: Enabling Lifelong Learning

Title

Your Name (required)

Your Position (required)

Institution (required)

Address (required)

Your Email (required)

Your Telephone Number (required)

Any Special Dietary requirements

I would like to register for the Upcoming Conference (Conference fee of €65 before or on 2nd December, €80 thereafter, Student fee of €15) (required)

Please tick

Are you attending the Conference dinner on the 8th Dec Y/N? (Fee of €25, to be held in the Radisson at 7:30pm)

There are three different options you can choose from to make payment to us. Please tick your preferred option.(required)