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Eurochurch Conference 2009 - Booking Form

Click here to return to EuroChurch website


PLEASE READ THIS CAREFULLY BEFORE PROCEEDING FURTHER
You may use this form to email details of your booking to us by clicking the ' book place(s) at Conference button' at the bottom of this page.
This is a secure link to our server. If you choose to pay by credit/debit card, you will then be taken to a secure payment page to provide details of your card.
If you prefer not to send your details electronically then click here for a "paper" booking form which you can print out and return to us in the post with your payment.

Bookings will be confirmed once we have received the relevant fee.

Number of places:
Please reserve place(s) at the at the Eurochurch 'Incarnate' Conference on (5-7 May 2009)

Select Conference Rate:

Payment in Sterling - Full rate including meals and accommodation
Payment in Euros - Full Rate including meals and accommodation
Payment in Euros - Local rate including meals but excluding bed, breakfast and tour of Rome

Please note that payment of the balance must be made on or before Tuesday 14th April 2009.
Click here to pay balance.

Details of first delegate, to whom confirmation of booking will be sent:
Title:
First name:
Surname:
Address:

Country
Postcode
Contact telephone:
Email:
Church / Organisation:
Denomination:
Arrival date/time/ Airport (if known):
Departure date/time/Airport (if known):
Names of other delegates:
Title: First Name Surname
Title: First Name Surname
Title: First Name Surname
Title: First Name Surname

Please indicate here if any of the delegates wish to share a room and with whom:
Requests for special dietary requirements:
Payment method

Note: If you choose to pay by credit/debit card you will be taken to a secure payment page when you submit this form.