Delegate Type *
We need to validate your mobile number for this event. We do this by sending you a code via SMS, which you fill in below.
Daytime Telephone NumberFor administration purposes only *
Mobile Telephone NumberFor administration purposes only *
Evening Telephone Number (Emergency Only)
For administration purposes only
Emergency Contact *
Please provide contact details of someone we can contact in case of an emergency while you are at Forum
Emergency Contact Name
Emergency Contact Phone Number *
Special Dietary Requirments
Please advise us of any special dietary requirements: (e.g. Vegetarian, Vegan, Halal, no seafood, no red meat etc that either yourself or your partner may have). It is important to advise us as soon as possible as last minute arrangements may not be possible.
I will be bringing a partner
Special Dietary Requirements:
Partner ProgrammeSee Partner Programme page for full details
Would your partner like to attend the Coffee Morning?
Would your partner like to attend the Mdina and Palazzo Tour?
Arrival (dd-mm-yy): *
Departure (dd-mm-yy): *
Number of rooms required *
Forum Room Requirements
Accommodation rates include three nights from 12th to 15th June. Including breakfast, taxes and service
Double Occupancy - 12th to 15th June (£540)
Single Occupancy - 12th to 15th June (£471)
Additional Room requirements - pre-forum
Subject to availability
Double Occupancy - £180.00 per room per additional nightSingle Occupancy - £157.00 per room per additional night
Additional Room requirements - post-forum
Accommodation Cancellation Policy
Cancellation between 89 and 60 days prior to arrival will incur a penalty of 25%Cancellation between 59 and 30 days prior to arrival will incur a penalty of 50%Cancellation between 29 and 15 days prior to arrival will incur a penalty of 75%Cancellation within 14 days prior to arrival will incur a penalty of 100%
Accommodation Payment MethodYou will receive a payment request for your accommodation in due course. At that point please send a cheque made payable to Willis Limited to:
Lyn Brennan, Willis Commercial Network 40 St. Paul's Place, Birmingham, B3 1FQ Tel: 0121 214 1702, Fax: 0121 2141660 Email: email@example.com
Please complete your passport details below, we require these to speed up check in on arrival to the Hilton Malta. If you do not have your passport details available you can complete this section at a later date.
Date of Issue (dd-mm-yy):
Date of Expiry (dd-mm-yy):
Place of Issue:
Date of Birth (dd-mm-yy):
Do you know your flight details yet?(If you have not yet booked your flights these details can be provided at a later date)
Arrival Flight DetailsDate (dd-mm-yy):
Airline and Flight No.
Departure Time (hh:mm):
Arrival Time (hh:mm):
Departure Flight DetailsDate (dd-mm-yy):
Some required fields have not been filled out ().
WCN Forum 2013 firstname.lastname@example.org
WCN Forum 2013 WCN Forum 2013 0.00
Hilton Malta HotelHilton Malta HotelPortomaso
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