Science Revision Weekend
2009 Booking Form

You can either print out this page or download a PDF version of this Booking Form. Note: If you use the PDF version, please ignore the instruction to make cheques payable to the Open University Chemistry Society. Cheques should now be made out to SCIENCE REVISION WEEKEND but we are unable to amend the PDF at present.

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 / lift to station etc.)
I enclose a deposit* of £35 OR the full amount of £
Signed Date

Please complete the form above and send a deposit of £35 (or the full amount if preferred), to SRW, 38 Lymington Avenue, Yateley, Hampshire, GU46 6EQ . If paying a deposit only, the balance MUST be paid no later than 4th September 2009. (We will not accept payment after this date, or on arrival at Yarnfield).

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 us or call Imogen on 01252 874923.

Cheques should be made payable to Science Revision Weekend.

Please note that if you send your form in an A4 envelope you need to put a special Large Letter stamp on it. If you don't, Imogen will not only have to pay a fine but she will also have to make a special trip to the post office to collect it, and she will not thank you for that!

*We may cancel revision sessions for a particular course if a sufficient number of students have not registered for them. If we do this, we will refund your deposit. If you cancel your booking, however, we will not return the deposit.

Office use only   Application No