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.