Conference Booking Form

20th-23rd June 2011 Robert Gordon University, Aberdeen

Section 1: Personal Details

Section 2: Registration Details (please tick as appropriate)

Full conference (including all conference sessions, lunches and refreshments, early evening reception and conference dinner)

Early bird rate - £310 (available for booking and payments confirmed before 1st April 2011)

Full delegate rate - £350 (for bookings after 1st April 2011)

Research student rate - £250 (Please send proof of Student Status)

Accompanying person Conference Dinner - £55

Day attendance (including all conference sessions, lunch and refreshments, early evening reception for those attending 20th or 21st June; does not include conference dinner):

Monday 20th June - £95

Tuesday 21st June - £120

Wednesday 22nd June - £95

Thursday 23rd June - £95

Optional visits Wednesday 22nd June:

Tour of Fittie - £22

Total payment due: ______________

Title: _______________ Job Title: __________________________________

First Name: ______________________ Organisation: __________________________________

Last Name: ______________________ Address: __________________________________

__________________________________

__________________________________

Telephone: _______________________ __________________________________

Email: _______________________ Postcode: __________________________________

Special Dietary/ Other Requirements : ______________________________________________

_______________________________________________

Section 3: Payment Options

Please choose one of the following (tick and complete as appropriate) :

Cheque (please make payable to The Robert Gordon University)

Please note only cheques in GBP and drawn on a UK Bank account can be accepted. No other cheque format will be accepted. Sterling Travellers cheques are acceptable.

Credit Card

Name of cardholder : ____________________________________________________

Address of cardholder: ____________________________________________________

____________________________________________________

Postcode: ___________________

Card type (Visa etc): __________ Card No: ______________________________________

Start date: ___ / ___ Expiry date: ___ / ___ Issue No. (debit cards only): _____

Last 3 digits on security strip (reverse of card): _______

Please debit £ ____________ from the card above.

Bank transfer - see details below.

Delegates should quote "Delegate name & IM708 060 i3 Conference"

Account Name – The Robert Gordon University

Bank name – Bank of Scotland

Bank Address – Queens Cross Branch, 39 Albyn Place, Aberdeen AB10 1YN, UK

Sort Code – 80-05-14

Account Number – 06003836

IBAN – GB08 BOFS 8005 1406 0038 36

SWIFT/BIC – BOFSGB21353

Confirmation of all bank transfer payments should be sent to cash@rgu.ac.uk to help identification of payee.

Please note the bookings cannot be fully confirmed until payment has been received (see Terms and Conditions). All payments must be received by 20th June 2011.

I confirm that I have read and understood the Terms and Conditions (available on the i3 Website)

Please return form to:

Information: Interactions and Impact (i3), Department of Information Management, Aberdeen Business School, The Robert Gordon University, Garthdee Road, Aberdeen AB10 7QE, UK.

Fax: +44 (0)1224 263553

Email: i3information@rgu.ac.uk