Day Conference Windmill Farm 2022
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Email *
About you
Full Name Including Pastoral title if relevant *
Your full address *
Your contact No. *
I confirm that I will be attending *
What are your expectations? *
Are you a member of Ministry of Empowerment? Note: Full membership 10% discount. Associated membership 5%     (If you would like to enquire about membership or bring your membership fees up to date, please contact us on 07432 155 916) *
Day Conference registration fee (Including lunch) *
Please write your membership No. (If known)  
Dietary Requirement
Dietary restrictions *
Children are welcomed to attend this Day conference.  Kindly add their name and age below..  Children under 15yrs Day Conference registration fee £15
1st Child full name
1st Child's age
2nd Child full name
2nd Child's age
3rd Child full name
3rd Child's age
Your consent
An invoice with payment details will be sent to you shortly.    I understand that full payment of £30 must be  paid  before 31st March 2022. *
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