2018 World Modern Pentathlon Coaches Registration Form

The UIPM and Pentathlon GB are pleased to announce the launch of the 2018 World Modern Pentathlon Coaches Conference that will be for the 6th year held at the Manchester Conference Centre.

Register me for the 2018 WMPCC

Full Name

First NameLast Name

E-mail

Phone Number

Area CodePhone Number

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Arrival Date

Departure Date

Hotel Accomodation - will be available on the evenings of Friday 16th, Saturday 17th and Sunday 18th November 2018 included in your accreditation fee. This year your accreditation fee will reflect the package you select. Please enter the dates below of the nights you require accomodation.

Delegates wishing to arrive earlier or depart later must arrange their own hotel booking for dates OUTSIDE the ones shown in options below

Friday 16th ONLY

This option will give you a room on Friday, dinner Friday, breakfast Saturday, lunch Saturday - Delegate fee £130

Friday 16th and Saturday 17th ONLY

This option will give you a room on Friday and Saturday only, dinner Friday/Saturday, breakfast Saturday/Sunday, lunch Saturday/Sunday - Delegate fee £260

Saturday 17th ONLY

This option will give you a room on Saturday only, dinner Saturday, lunch Saturday/Sunday, breakfast Sunday - Delegate fee £130

Saturday 17th Sunday 18th ONLY

This option will give you a room on Saturday and Sunday only, lunch Saturday/Sunday, dinner Saturday/Sunday, breakfast Sunday/Monday - Delegate fee £260

Friday 16th, Saturday 17th Sunday 18th ONLY

This option will give you a room on Friday, Saturday and Sunday only, dinner Friday/Saturday/Sunday, lunch Saturday/Sunday, breakfast Saturday/Sunday/Monday - Delegate fee £375

1st Meal

Last Meal

Accreditation fee will be paid by

Conference Accreditation fee must be paid by 1st October. The payment details are shown on the UIPM WMPCC Webpage

If "other" please give details of payment

Do you require Visa letter of official invitation

Full name as shown in your Passport

Date of Birth

DayMonthYear

Nationality

Actual dates required for the Visa

Visa From (Start)

DayMonthYear

Visa To (End)

DayMonthYear

Passport Issue Date

DayMonthYear

Passport Expiry Date

DayMonthYear

Passport Number