Booking Request

Surname		
First Name		Title		
Organisation		
Address		
Postal/Zip Code		Country		
Email address		Fax		
Contact Telephone No		Mobile		
Name: Accompanying Person 
(if applicable)		

Details for Name Badge & Conference Participant List – if different from above	
Name Badge 	Name & Organisation		
Participant List 	Name & Organisation		
Email address		

Booking Requirements 
	Bookings paid for prior to 14th Feb, 2008 qualify for our Early Bird Fees

Residential Booking

Accommodation Type	Early Bird	Mark as Required	Standard Fee	Mark as Required	
3 Days Fee	€750.00		€850.00		
2 Days Fee	€670.00		€770.00		
Student 3 Days Fee	€490.00		€550.00		
Accompanying person(3 days)	€190.00		€190.00		
Accompanying person(2 days)	€170.00		€170.00		

•	All residential rates include full conference with lunch, refreshments and dinner on Monday 5th & Tuesday 6th May. 
•	3 Day Fee includes 3 nights Bed & Breakfast in single room. (Sunday, Monday & Tuesday) 
•	2 Day Fee includes 2 nights Bed & Breakfast. (Monday & Tuesday)
•	For accompanying persons residential rates include sharing of a double room, conference lunches and dinners 

Daily Delegate Booking

Type of Registration 	Early Bird	Mark as Required	Standard Fee	Mark as Required	
Monday	€180.00		€180.00		
Tuesday	€180.00		€180.00		

•	Daily Delegate rates include full conference with lunch, refreshments and dinner on selected day.

Extra nights Request & Special Instructions

Requirements for extra nights 
(please indicate the hotel required, the dates required and the type of room)

Details of costs & hotels available can be found at http://www.networkedlearningconference.org.uk/fees.htm
The booking of extra nights declared above is subject to confirmation by the Conference Secretariat.
Payments for extra nights should NOT be included in the Payment Amount below, but will be made directly on site at the relevant hotel. 
Special dietary requirements 
e.g. vegetarian		

Other special Instructions	

Payment Details

Surname		

Method of Payment:

Credit Card		
Type of card		Exact name on the card		
Card number		
ID validation number (The last 3 digits of the number that can be found on the back side of your credit card) :		
Valid from	 	Valid to		
Amount (this will be confirmed by email)	€	

I authorise ATEI of Thessaloniki, to charge my credit card with the sum of   _____ €, as a fee to participate in the Networked Learning Conference 2008

Signature:     _____________________      Date: _______________

Bank Transfer
	Emporiki Bank, Greece 
Account number: 86320622 
IBAN:GR5101204140 0000 000 86320622 
Swift Code: EMPOGRAA	
Amount (this will be confirmed by email)	€	

Once completed, please send the Registration form (together with the proof of payment, if bank transfer) either by e-mail or FAX to:

Chatzianagnostou Stella
Research Committee - ATEI of Thessaloniki 
P.O BOX 141 
GR - 574 00 Thessaloniki, GREECE
Phone: +30 2310 791477
Fax: 	 +30 2310 791468
Email: 	nlc2008@teithe.gr