PebblePad - not just an eportfolio

PebblePad

PebblePad 2010 - Registration Form

Step 1 - Configure Your Conference Package
Please select a package or tailor your attendance - Compare all Packages
Packages* Residential Packages: (3 day & 2 day) places available	Full Residential Package (3 day) £495 Full Residential Package (2 day) £445 Non-Residential Package (3 day – incl. Dinners) £385 Non-Residential Package (2 day – incl. Dinners) £335 Non-Residential Package (3 day – excl. Dinners) £325 Non-Residential Package (2 day – excl. Dinners) £275 Custom Package

Custom Package	Workshop / Special Interest Group Tue, 8^th £75 Conference Delegate Wed, 9^th £145 Conference Delegate Thu, 10^th £145 Social Meal Tue, 8^th £25 Conference Dinner Wed 9^th £45

Workshop / SIG*	Please select a workshop PebblePad Advanced Workshop (all day) places available Assessment Special Interest Group (PM) Professional Routes Special Interest Group (PM) PDP and CPD Special Interest Group (PM)

Extra Night	Monday, 7^th £75 Thursday, 10^th £75

Step 2 - Personal Details & Interests
Please enter your personal details, purchase and invoice information and interests. Fields marked with a * are required.
First Name*
Last Name*
Organisation*
Department
Role/Position
Email Address*
Phone
Purchase Order Number or Name of Authorising Person
Send Invoice	Send invoice to me Send invoice to:
Show in delegate list	I'm happy for my details to be shown on a delegate list.
Dietary or personal requirements	Requirements
Your Interests	To help us help you connect with others at the conference please indicate where your main interest in using PebblePad lays (choose any two):
	Continuing Professional Development Personal Development Planning Placement or Work-based Learning Learning, Teaching and Assessment Professional or Graduate Skills Professional Accreditation Appraisal or Performance Review Careers or Employability Other
Comments	Comments

Step 3 - The Small Print
Please enter the characters on the captcha image and acknowledge our terms & conditions. Fields marked with a * are required.
CAPTCHA Image*	Please enter the letters and numbers on the image below.

Terms & Conditions*	I agree to the Terms & Conditions


Step 4 - Review & Submit
Please check your selection before submitting the form.
Your selection Full Residential Package (3 day) £495
Price £ incl. VAT

Terms & Conditions Help Problems with this form? Please let us know!

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