2018 Summer Conference on Prayer
Application Form
Email address *
Title *
Full Name *
Your answer
Address including Postcode *
Your answer
Telephone *
Your answer
Parish *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Number *
Your answer
Special Dietary Needs
Please fill in any particular allergies or other needs in the other box
Conference Participation and Travel
I sing and I would like to join the Conference Choir
I am coming by car and I am willing to bring others
I would like a lift if there are people coming by car
Attendee Information (including multiple bookings)
Members of the Fellowship £190
Non-members of the Fellowship £200
Unwaged (UW) or Students (ST) £170
Day places (non-residential, including meals, must be
pre-booked) £35
Person 1 Name *
Your answer
Person 1 cost (incl. concessions code) *
Person 2 Name
Your answer
Person 2 cost (incl. concessions code)
Person 3 Name
Your answer
Person 3 cost (incl. concessions code)
Payment
A non-returnable deposit of £50 per person is required before a booking can be confirmed.
Cheques should be made payable to Orthodox Fellowship of St John the
Baptist. and sent to Mrs Rebecca Higgs, 19 Great Park Drive, Leyland, PR25 3UN
If paying by Bank Transfer - please indicate that this is for Conference and if your Bank Name differs from the name on the form please clarify this.
I will pay
Method of payment *
By answering this you agree that the full balance will be paid by 30th June 2018
Data Protection
Data Protection Act – these personal details will be kept on computer
I agree to my contact details being circulated to other participants. *
Required
I agree to event organisers and other officers of the Fellowship contacting me using the information provided above.
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