Association for the Development of the Person-Centered Approach

ADPCA 2001 at GMB National College

Manchester, United Kingdom. 30 May – 3 June 2001

 

Application Form (Click here for a print version of this form which fits on one page)

Please send A4 s.a.e (UK only) for receipt and confirmation details

Name

 

Address

Tel

 

 

Fax

 

 

Email

 

 

 

 

 

 

Special requirements:  

 
Dietary requirements:  

 
Smoking/Non smoking  
Full conference residential: Shared: GBP               or Single: GBP
With whom (if known):    
Full conference non-residential GBP
Day delegates
Dinner

please circle day/s required: Thurs     Fri     Sat
                                     Wed     Thurs     Fri     Sat

Deposit: GBP30.00 (non-refundable)

 Payment in pounds sterling cheques/Eurocheques  (payable to: ADPCA 2001)

or by bank transfer (sender to pay fees) to:

Cooperative Bank, Business Direct, 4th Floor, Kings Valley,  Stockport. Cheshire
United Kingdom

Account No. 65056866. Sort Code: 08-92-99. 

Total enclosed: GBP

Please send completed form & cheque/Eurocheque, payable to "ADPCA 2001", for GBP30 deposit (& large s.a.e. UK only) to : 

Jill Jones, ADPCA, 16 William Jessop Court, Manchester, M1 2NE, UK.

Tel. 0161 272 8354 (Int. + 44 161 272 8354). e-mail: jill.jones1@virgin.net