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NATIONAL LOCAL MINISTRY CONSULTATION 2009         Booking Form

HIGH LEIGH CONFERENCE CENTRE                               [print off this form for booking]

16-18 NOVEMBER 2009

 

TITLE…………………………………NAME…………………………………………………………

 

ADDRESS ………………………………………………………………………………………………

 

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…………………………………………………….....POST CODE...........……………………..

 

TELEPHONE ………………………………………………….

 

E-MAIL………………………………………………………………………………........................……

 

DIOCESE ………………………………………………ROLE …………….................………………

 

I am/ am not happy for this information to be included in the Local Ministry Directory.

 

Special dietary requirements …………………………………………............................…………………

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Please indicate if you have anything that you would like to share at Consultation – in written form or in the work group sessions

 

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The fee for the Consultation is £160 if paid before 1^st September  [£170 after that date]

 

Please indicate:

[   ]      I have enclosed a cheque made payable to Lichfield DBF

[   ]      My fee will be paid directly by …………… please inform me of BACS details

 

Applications to be made by 1^st July 2009 to the Conference Administrator:

Revd Canon Paul G. Cox,  31 Waldron Thorns, Heathfield, E. Sussex TN21 0AB

Email : pgcox@tiscali.co.uk for further information.

 

Further Comments: