TEXT ONLY EARLYBIRD BOOKING FORM FOR BICON 2008 (28th-31st August at Leicester)

Please email this to bookings@bicon2008.org.uk .  

Word version: http://www.bicon2008.org.uk/ELECTRONICEarlyRegistrationForm.doc
PDF printable version: http://www.bicon2008.org.uk/PRINTEarlyRegistrationForm.pdf
Helping Hand Application form: http://www.bicon2008.org.uk/HHF-App.doc

All currencies are in British pounds (£)

CONTACT DETAILS
Forename:
Surname:
Preferred Name (We will use this):
Address:
Postcode:
Telephone (Mobile and or Landline):
Preferred Contact Method(s):


QUICK QUESTIONS
How did you hear about BiCon?:
How many BiCons have you been to before this one?:


VOLUNTEERING AT BICON

We welcome offers of volunteering from anyone who attends BiCon, there are many types of volunteering and it doesn't have to be arduous or difficult.  First-timers to registration desk volunteering will be supported by more experienced volunteers.  Counselling and first aiders will have daily support and coordination meetings with an experienced BiCon attender and counselling and first aid volunteer.

Mark with an X what you would like to volunteer for:

I would like to volunteer at the registration/reception desk:
I would like to volunteer as a qualified first-aider*:
I would like to volunteer for the counselling team*:
I would like to volunteer for childcare/familyday/children*:
I can offer sign language interpretation*:
I would like to offer car space to other BiCon attenders:

* = We may ask for proof of qualification or experience, you will be contacted before BiCon to discuss this. 

WORKSHOPS
I would like to volunteer a workshop session: 

Details of sessions(s) - preferably no more than 3 per person. 


BIRECON

I would like more information about BiReCon:
I would like to attend BiReCon for any of morning/afternoon/all: 


YOUR NEEDS

BiCon has a strong ethos of being as accessible as possible to people with disabilities or health needs.  The sooner we are aware of your needs the more likely we are to be able to provide appropriate support or assistance.  If you wish to discuss your access needs, please email natalya on bookings@bicon2008.org.uk .  There is a an access report on our website at: http://www.bicon2008.org.uk/Access-Report.html which may answer some of your questions. 


Please put an X next to any of these which apply to you:

This is my first BiCon:
I would like to apply for Helping Hand (hardship) Funding:
I would like to pay for BiCon in instalments:
Please contact me to discuss my access needs for BiCon:
I require wheelchair accessible accommodation:
I require a ground floor room:
I require sign language interpretation:
I will be bringing children under 16 to BiCon (please provide details of names and ages):
I am a parent and would like to be put in touch with other parents before BiCon: 


REGISTRATION & PAYMENT

BiCon uses a sliding scale to make BiCon as accessible as possible. Select the income band which applies to you, and the type of registration you require. Accommodation is for Thu/Fri/Sat nights.

SLIDING SCALE
Organisations & Super Supporter:
Registration: £65
Standard Room + Registration: £185
En-Suite Room + Registration: £260
One Day Pass: £30 (Please state which day):

Income above £31,000 per year:
Registration: £50
Standard Room + Registration: £161
En-Suite Room + Registration: £233
One Day Pass: £25 (Please state which day):

Income between £25,000 and £30,999 per year:
Registration: £45
Standard Room + Registration: £150
En-Suite Room + Registration: £222
One Day Pass: £23 (Please state which day):

Income between £19,000 and £24,999 per year:
Registration: £40
Standard Room + Registration: £139
En-Suite Room + Registration: £211
One Day Pass: £20 (Please state which day):

Income between £13,000 and £18,999 per year:
Registration: £35
Standard Room + Registration: £128
En-Suite Room + Registration: £200
One Day Pass: £17 (Please state which day):

Income below £13,000 per year:
Registration: £30
Standard Room + Registration: £114
En-Suite Room + Registration: £186
One Day Pass: £15 (Please state which day):

Unwaged Income
Registration: £25
Standard Room + Registration: £100
En-Suite Room + Registration: £175
One Day Pass: £12 (Please state which day):

BOOKING TYPE
The type of booking I would like is (eg 19-24k Ensuite room):
My Bicon will cost (e.g £211): 

I would like to donate to the helping hand fund: £

PAYMENT
Please note that we cannot accept cheques posted after 5th August 2008  (you will need to pay by BACS or PayPal).  PayPal payments will need a surcharge of £1.50 for payments under £150 and £4.00 for payments over £150.  Email bookings@bicon2008.org.uk for PayPal or BACS payment details.  Cheques and printed forms can be sent to BiCon 2008, BM BiCon, London, WC1N 3XX. 

My payment method will be please state (PayPal/Cheque/BACS):