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Registration Form for BiCon Manchester, 26 - 30 August 2004

[back to the registration page]

Return this form by August 7th to us at:

BM BiCon
London
WC1N 3XX
United Kingdom

This section for BiCon 2004 team use only: Booking code __ __ __ __ R

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Personal Details:  

Name:

Address:

 

Postcode:

Email:

Date of birth:
(if you will under 18 on 26/8/2004)


Now... choose one of these two options:
 

either...

To Register AND Book Onsite Accommodation for the whole conference... booking before 7 August 2004
  Your income Price Tick
  unwaged £95 [ ]
  under £12,000 £110 [ ]
  £12 - £17,000 £123 [ ]
  £17 - £22,000 £138 [ ]
  £22 - £27,000 £159 [ ]
  £27,000+ / organisations £180 [ ]

or...

To Register ONLY and arrange your own accommodation elsewhere... booking before 7 August 2004
  Your income Price Tick
  unwaged £25 [ ]
  under £12,000 £35 [ ]
  £12 - £17,000 £43 [ ]
  £17 - £22,000 £51 [ ]
  £22 - £27,000 £60 [ ]
  £27,000+ / organisations £70 [ ]

Please enclose the appropriate payment with your booking, cheques / PO's payable to "BiCon".
Note if you are booking from overseas it may be easier to register using our PayPal facility.


More information about your booking  
Please tick [/] appropriate boxes below.  
  [ ] This is my first BiCon -- please send me more information about the bisexual community in the UK.
  [ ] I want to apply for the 2004 helping hand fund.
  [ ] I have access difficulties and need a ground floor room.
  [ ] Please send me details of wheelchair accessible accommodation.
  [ ] Please send me details of nearby hostel and B&B accommodation.
  [ ] I would like creche accommodation for.....children aged.......... (We will contact you about this when creche arrangements become clearer.)
  [ ] I am deaf or hard of hearing and need sign language interpretation. (Please specify which language. Can you arrange your own interpreter?)
  [ ] I have other access issues (please explain below / overleaf.)
     
Help Make BiCon Happen  
Please tick [/] appropriate boxes below.  
  [ ] I would like to volunteer for gophering / helping on the registration desk / stalls.
  [ ] I can offer sign language interpretation. (Please specify which language.)
  [ ] I am a qualified First Aider.
  [ ] I can offer counselling.
  [ ] I would like to volunteer to help in the creche
     
  [ ] Please send me ( booking forms / fliers / posters - delete as appropriate) for distribution to help publicise BiCon 2004. (How many? Where do you plan to put them?)
  [ ] I would like to run a session/workshop, or can help with some specific aspect of BiCon, details below / overleaf

Notes: Qualification/references may be asked for from creche, counselling, sign language interpretation and first aid volunteers. Due to time and space limitations, we may not be able to accept every session proposal. We will try to select sessions in order to make a balanced and interesting programme. We prefer sessions to be run by people who have been to BiCon before. If this is your first BiCon please tell us if you have any experience of running sessions.

All information will be treated in confidence


And finally [ ] tick this box if you wish us to pass on your contact details to future BiCon organisers for the 2005 conference.