Booking Form:
2011 Conference BOOKING FORM
High Leigh • 2nd - 5th May 2011
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 2011 conference?
Do you need a downstairs room?
Yes
No
Room type:
En-suite Single Room £250
En-suite Double Room £230
Non en-suite Single £205
Non en-suite Double £195
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 2011 conference. The
balance is to be paid by the 31st January 2011. 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.