CONFERENCE BOOKING FORM 2012

Firstname: *

Surname: *

Mailing Address: *

Phone Number: *

Email Address: *

School/Institution:

Address:

Roll No. (Teachers only):

PPS Number (Teachers only):

Current RAI Member?: *

Yes

No

CONFERENCE RATES 2012: *

Payment Method: *

* Institutional Membership allows up to 3 persons attend at the member rate (i.e., €50 per person). Please fill out a separate form for each participant.
** NQT (Newly Qualified Teacher) may avail of a reduced membership for one year; thereafter they change to full individual membership.
*** Students may avail of a reduced membership for up to three years of their undergraduate degree course and one year as NQT; thereafter they change to full individual membership

Lunch will be available for purchase on Friday, September 28th

PAYMENT OPTIONS

Payment by cheque/postal order:

Payable to:	Reading Association of Ireland
Postal Address:	Reading Association of Ireland c/o Educational Research Centre St Patrick’s College, Drumcondra, Dublin 9.

Electronic Payment:

Electronic payment:

Pay the amount due to:
RAI Account, Bank of Ireland, Drumcondra, Dublin 9.
Sort Code: 900519
AC Number: 58563391
I –BAN Number: IE 19 BOFI 9005 1958 5633 91.
Use own First and Last names as reference.

ENQUIRIES

Email enquiries:	raiconference (at) gmail.com
Telephone enquiries:	(01) 8065227
Postal enquiries:	Reading Association of Ireland c/o Educational Research Centre St Patrick’s College, Drumcondra, Dublin 9.

N.B. Permission has been granted by the DES for teachers to be absent from school (without substitution) on Friday September 28th to attend. Teachers should consult the Chairperson of their Board of Management regarding the number of teachers per school granted leave of absence to attend.

After submitting this form, you will receive an e-mail confirming your registration and invoicing you for the amount due.

PAYMENT OPTIONS

ENQUIRIES

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