Cancellation and Refund Will Not Be Entertained After Receiving Your Form

/ QSIC 2OO8
8th International Conference onQuality Software
Oxford, UK, August12–13, 2008

Accommodation Booking Form

Please type or complete in block letters. The form must be signed and returned to to Dr. Ian Bayleyby email or fax to ++44 1865 484545.

Payments must be made in UKSterling. We regret that payments in other currencies cannot be accepted. Payment must be made by credit card only. We cannot process other forms of payment. Room booking will not be complete until the payment has been received.

Cancellation and refund will not be entertained after receiving your form.

Room Prices

Room Type / Price / Note
Standard Single Room / £40 (inc VAT) / Per night per room, including one breakfast
Standard Double Room / £70 (inc VAT) / Per night per room, including breakfast for two persons
Ensuite Single Room / £50 (inc VAT) / Per night per room, including one breakfast
Ensuite Double Room / £80 (inc VAT) / Per night per room, including breakfast for two persons

Please complete the following room booking details as appropriate.

Room Booking Details

Title: (Please circle) / Family Name: / Given Name:
Prof / Dr / Mr / Mrs / Ms
Affiliation:
Address:
Date of Arrival:
Date of Departure:
Room Type: / Price / Number of rooms: / Number of nights / Subtotal:
Standard Single Room  / £40 x / ______x / ______/ = £______
Standard Double Room  / £70 x / ______x / ______/ = £______
Ensuite Single Room  / £50 x / ______x / ______/ = £______
Ensuite Double Room  / £80 x / ______x / ______/ = £______
Total: / £
Payment Details (By Credit Card Only)
Type of Credit card (Please tick): /  VISA  Master
Cardholder’s Name (as printed on the card)
Credit Card Number
Check digits(to be found next to your signature) (donot send us your PIN)
Credit Card Expiration Date / ______(Month) ______(Year) / Cardholder’s Signature

QSIC 2008 Registration Formpage 2 of 2