Habits of Mind in Wales National Conference
27 & 28 June 2011, Cardiff
Registration form
Title:
First Name:
Surname:
Position/reponsibility:
Establishment:
Establishment Address Line 1:
Establishment Address Line 2:
Establishment Address Line 3:
Establishment City:
Establishment Post Code:
Phone Number:
Fax Number:
Email Address:
I will send a cheque made payable to 'Tomorrow's Learning'. A tax receipt will be issued.
Please invoice my establishment at the above address
Please invoice me personally (complete below)
Invoice Address (If Different)
Invoice Recipient:
Address Line 1:
Address Line 2:
Address Line 3:
City:
Post Code:
Special Requirements (e.g. dietary or access):