Please complete the registration form below and submit or fax to Sarah Hulbert at +44 117 312 9870.

Registration deadline: FRIDAY 23RD FEBRUARY 2001

QIPC REVIEW - MARCH 2001 - SEEFELD, AUSTRIA

Name:

Email address:
Tel:
Organisation:

QIPC EC Project:
Other:

QUIPROCONE
Membership Number:

REVIEW MEETING:

I will be attending the QIPC Review on the following days:

Wednesday 14th March 2001
Thursday 15th March 2001
Friday 16th March 2001

ACCOMMODATION:

I would like to be booked into the following hotel:
We have asked you to make three choices as availability is limited in each hotel.

See the accommodation page to view all recommended hotels.

First choice

Second choice

Third choice

Arrival Date: Arrival Time:

Departure Date: Departure Time:

Credit Card Details (to guarantee your booking):

Card type:
Visa
American Express
Mastercard
Other:

Card number Expiry date

DINNER AT HOTEL KLOSTERBRAU - THURSDAY 15TH MARCH - FREE!!

I to attend the organised evening dinner

Special dietary requirements:

Additional information: