Are you also the person who placed the order?* Yes, I placed the order No, the order was placed by someone else No, I am someone's guest
	Your email* So we may link your requirement to your order
	Booked by* The email of the person that has purchased the places
	Guest of* The email of the person enabled by informatology to have invited you as their guest

	Contact Information
	Name* First Name Last Name
	Work Email*	Alternative (private) Email
	Job Title*	Organisation*
	Work Phone*	Mobile

	The conference seminars/workshops you want to attend
	DAY 1 - Wednesday 28 April
	Morning 1: Maintaining Motivation through Change reset	Afternoon 1: Coaching that Empowers 2: Powerful Partnership Synergies reset
	Workshop "Accrediting your in-house training" - Middlesex University Iinstitute for Work Based Learning The 40-minute workshop is offered to a small group. Check the box to go on the wait-list and you will hear before the conference if you have a place.
	DAY 2 - Thursday 29 April
	Morning 1: Inclusive Leadership 2: Learning, Knowledge & Technology reset	Afternoon 1: Engaging and Utilising Talent 2: The Future of Workplace Learning 3: "New Media @ Work" Unconference reset
	Workshops "Adobe Captivate" - Presented by Adobe "Accrediting your in-house training" - Middlesex University Iinstitute for Work Based Learning "Immersive Technologies" - Rivers Run Red The 40-minute workshops are offered to a small group. Check the box to go on the wait-list and you will hear before the conference if you have a place. For the Adobe session the workshop consists of a presentation and discussion, with some time for hands-on. Please bring your own laptop if you wish to benefit from the hands-on part.
	DAY 3 - Friday 30 April
	Whole day 1: Great Customer Service & Great Places to Work 2: BBC hands-on Masterclass "Making Movies" 3: Jane Hart Masterclass "Learning & Performance 2.0" reset
	Sponsors & Vendors
	Which of your contact details may we pass to conference sponsors? name work email work phone mobile Uncheck any contact detail you prefer us to keep private
	Do you like to meet with vendors at the conference venue? Let's meet at conference if they ask We can sit in the same peer circle Uncheck if you would like us to not arrange meetings for you, and/or if you prefer vendor-free peer circles for group discussion
	You're applying for a...* Confirmed place @ standard fee Waitlist place @ budget fee Director Pass Speaker place TJ Peer Award Finalist place Blogger/tweeter place Other: Other Value
	Your Director Pass is for* A free confirmed place (as guest of a confirmed colleague) A free confirmed place (invited by a conference partner) A discounted confirmed place A free waitlist place A discounted waitlist place
	Your colleague who has booked a confirmed place with a Ticket or at standard rate is:* This offer is valid for alongside a first booking with a Ticket or at the standard confirmed place rate.
	The conference partner that has invited you as their guest is:* This offer is subject to confirmation by informatology, space permitting

	Unconference Suggestion If you would like to give a short talk at the unconference you have applied for on day 2, please provide details here. If you are invited to speak, there will be no fee for your attendance on that stream, and any fee you may have paid will be refunded.
	Unconference Suggestion - Title Suggest a catchy title
	Unconference Suggestion - overview As a nod to Twitter brevity, no more than 140 words please.

	Background
	I am attending this conference because... Please include any specific objectives you may have
	Requirements Please advise us of any special things we should be aware of, such as access, food allergies, hotel room required etc.
	Comments
	Thank you