A Century of Probation

Please complete a separate form for each person attending and submit it to us by clicking the submit button at the bottom of this page. Remember that a discounted rate is available for the conference if your registration form is received by Saturday 31st March 2007.

Having problems with your registration? Please contact our web developer for more information.

You can also register your interest in a Century of Probation by filling in your details on the Century of Probation website. We can then keep you updated with news and events.

Title
(Select as appropriate)

Personal Details

Forename:
Surname:
Job Title :
Organisation/ Institution:

Please provide an address of correspondence:
Address Line 1:
Address Line 2:
Town/ City:
County/ State/ Province:
Post Code /Zip Code:
Country:

Telephone: (please include your international dialling code)
Fax (optional):
E-Mail Address:

Conference Attendance & Conference Banquet

All fees are in pounds sterling (�).

	Attendance Type	Fee (�)
	Full attendance	�295 (pre 31 Mar)* �350 (post 31 Mar)*
	Student Attendance
	Retired Probation Staff Attendance
	Day attendance

If you have selected 'Day Attendance' as your preferred method of attendance, please select which day(s) you would like to attend below:

	Day	Fee (�)
	Monday 10th September	£75.00
	Tuesday 11th September	£150.00
	Wednesday 12th September	£150.00*
	Thursday 13th September	£75.00

* This fee does not include attendance at the Conference Banquet at the Cutlers' Hall. Please indicate below if you would like to attend the Banquet at the additional charge.

I would like to attend the Conference Banquet at Cutlers' Hall

�50

Method of Payment

	Cheque to follow - cheques should be in pounds sterling (£) and made payable to 'Sheffield Hallam University'. The postal address for cheques is: 2007 Century of Probation Conference Secretariat, Sheffield Hallam University, City Campus, Room 5503 Surrey Building, Sheffield S1 1WB. Please include your registration number when posting your cheque.
	Invoice Required
	Please enter your purchase order number (if applicable):
	Credit or Debit Card (Visa, Mastercard, Eurocard, Switch/ Maestro, Delta, Solo). Please note that we are unable to accept American Express. Please download the credit card form to fill in. Once this has been completed please fax it to 0044 114 225 5337. Please click below to download the form in either Microsoft Word format or Rich Text Format.

Additional requirements or special needs

(Eg. specialist equipment, wheelchair access, dietary requirements.)

Cancellations

Refund of conference fees, less administration costs of �30, will be given on cancellations made by 24th August 2007. No refunds will be given after this date, but confirmed substitutes will be accepted.

Dates to remember

Registration