Booking Form:
2012 Conference BOOKING FORM
High Leigh • 23nd - 26th April 2012
Name:
Adress:
Postal Code:
Telephone:
Email:
Denomination:
Please indicate any special dieatary needs...
Where did you first hear about On Fire?
Have you been to a previous On Fire or ACR Conference at High Leigh?
If YES, most recent year attended
Yes
No
How many places do you wish to book for the 2013 conference?
Do you need a downstairs room?
Yes
No
Room type:
En-suite Single Room £270
En-suite Double Room £250
Non en-suite Single £220
Non en-suite Double £210
Sharing with:
Pay Method:
Full Fee
Deposit
I/we enclose a deposit of £60
I/we understand that this deposit reserves my/our place(s) at the 2012 conference. The
balance is to be paid by the 31st January 2012. Later bookings are welcome if places
available.
How do you wish to make payment ?
Via POST
Via PayPall
Tick if you do not want your name on the Attendance list.
Please type the secutiry code above:
*Case Sensitive*
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