Living and learning, learning and teaching: Mental health in higher education

Online Conference Registration Form

By filling out this form you will be included in the Mental Health in Higher Education (mhhe) project database which is kept in accordance with the Data Protection Act principles & requirements.

You can download a hard copy of this registration form as a Excel 2007 file or a PDF file. Hard copies should be returned to: Ros Malcolm, Conference Coordinator, Conference Centre, Bowland Avenue East, Lancaster University, Ellel, Lancaster, Lancashire, LA1 4YT , or to r.malcolm@lancaster.ac.uk. Cheques should be made payable to ‘Lancaster University’.

Personal Details

I am happy for my email to be included in the delegate list.

Conference Registration and Accommodation Fees

Please note the conference registration fee includes lunches & refreshments only — for conference dinner & accommodation see below

Early Bird (available until 05/02/2010) - £190.00
Full Rate (after 05/02/2010) - £220.00
Concessionary Rate (student/unemployed) - £155.00

I am a speaker

I have applied for a Bursary

Please indicate your accommodation requirements below (rates are for B&B, all rooms are ensuite):-

No accommodation required

Tuesday (30/03/2010) £45.10

Additional nights at £45.10 per night:
Monday (29/03/2010),
Wednesday (31/03/2010)

Please tick this box if you require a bedroom on the ground floor

Evening Meals

Tuesday (30/03/2010) £18.50

Special Dietary Requirements...

If there is any other information (e.g. About access needs) that you think may be relevant to your attendance of the conference, please supply full details:

Additional Relevant Information...

Please keep a note of the total of your fees as you will need to enter this figure when paying online.

Any cancellations made after 22/01/2010 will not normally be eligible for a refund.