Science Revision Weekend
Sponsored by the Chemistry and Physics Societies of the Open University
2008 Booking Form

You can either print out this page or download a PDF version of this Booking Form.

Join OUCS or Join Fusion to claim your £5 reduction (single occupancy only).

Please complete in block capitals and tick or delete as appropriate
Title Forename(s) Surname
Address
 
Town/City County Post Code
Telephone Mobile  
Email Address
OU Student No. OUCS/FUSION Membership No.
(to claim £5 reduction)
 
Course(s) required
Which Package? Single

Non-resident

Double (2 students)

Double (student and partner)

Special requirements (dietary/accommodation/help required/etc.)
I enclose a non-returnable deposit of £35 OR the full amount of £
Signed Date

Please complete the form above and send a (non-returnable) deposit of £35 (or the full amount if preferred), to: Science Revision Weekend 2008, 10 Charlecote Drive, Chandlers Ford, Hampshire, SO53 1SF. If paying a deposit only, the balance should be paid no later than 31st August 2008.

All further correspondence will then be by email unless you specifically request postal mailings, in which case you must include TWO stamped, addressed A5 envelopes with your initial application. If no acknowledgement has been received within 10 days, or for any other information, please email info@sciencerevision.org.uk or call Lorraine on 02380 253656.

Cheques should be made payable to the Open University Chemistry Society.

Some courses become oversubscribed very quickly, so please book early! To take advantage of the Early Bird booking rate of £235, bookings must be received by 31st August. After this date, the rate may be subject to change.

Office use only   Application No