1. Healthcare

Booking form
PLEASE COMPLETE IN BLOCK CAPITALS
Title
Create your perfect weekend
Excursion choice
All prices shown are the cost per person.
Excursions are subject to availability and booked on a
first come, first served basis. Please enter the letter of
your excursion choice (see overleaf for the excursion list).
Full weekend package
Please tick
First name
You
Guest
£255
Last name
Or
Address
Friday 27 March 2015
Please tick
Afternoon talks including
tea, coffee and cake
Postcode
You
Guest
Price
£20
Evening dinner and talk
Membership no.
£30
Is this your first Members’ Weekend?
Yes
No
Guest
First name
Last name
Membership no
Is this their first Members’ Weekend?
Yes
No
Name badges will show your first name and last name,
unless your name preference is stated below:
(You)
Please tick
All morning talks including
refreshments
You
Guest
Accommodation
£35
Travel green
For members travelling from York train station, free
shuttle buses will run on Friday 1-3 pm, and on Sunday a
shuttle bus will take members to the station for 2.30 pm.
Please tick here if you need to use this free service.
payable to “The RSPB”.
from my MasterCard/Visa/ Maestro account.
Please complete the details relevant to your card
(Maestro only)
Start date
/
Sunday 29 March 2015
You
Guest
Price
£25
Do you have difficulty with walking/stairs? Please specify.
(Guest)
Additional accommodation (B&B only) is available at
£55 per person, per night. Please tick the appropriate box
if needed.
Do you require an adapted room, suitable for wheelchair use,
a visual impairment or a hearing impairment? If yes, which?
Thursday 26 March
(You)
(Guest)
If you have any special dietary needs, please provide details:
Sunday 29 March
(You)
(Guest)
(You)
Third
choice
Please debit £
Saturday evening dinner,
talk and entertainment
(You)
Second
choice
Or
£20
(You)
Guest’s first
choice
£15
Special requirements
All rooms are single with en-suite facilities. Couples/
partners will be allocated adjacent rooms as a priority.
Third
choice
I enclose a cheque for £
Please note, the event is spread across York University campus, with
accommodation, venues and dining approximately 10 mins’ walk apart.
(Guest)
Second
choice
Price
Afternoon excursion and
packed lunch
Please tick
Sunday talks, refreshments
and lunch
First choice for
excursion
How to pay Remember to total up!
Saturday 28 March 2015
Daytime telephone
Title
Price
(Guest)
(Guest)
Expiry date
/
Issue number (Maestro only)
Date
Signature
Why did you decide to book?
Please send this form and payment to:
Events, The RSPB, The Lodge, Sandy, Bedfordshire SG19 2DL.
If you have any questions or need help completing this form,
please call the Events team on 01767 680551.
RSPB USE ONLY
Ref: PAEMWK0045