Thirteenth National Conference on the Deanery
5 October - 7 October 2012
Delegate Reservations
To reserve places at the 2012 Deanery Conference complete the reservations form below. We will acknowledge your reservation via email with an invoice. You must send your payment to confirm your reservation. We will hold your reservation for 10 days from the date of the invoice.
Please book places at the Thirteenth National Conference on the Deanery in the names below:
* = Required Field
First Delegate |
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| Tile (Mr/Mrs/Revd etc): * | ||||
| First Name: * | ||||
| Last Name: * | ||||
| Address Line 1: | ||||
| Address Line 2: | ||||
| Address Line 3: | ||||
| Post Town: | ||||
| County: | ||||
| Post Code: | ||||
| Tel No (inc dialling code) * | ||||
| Email Address: * | ||||
| Deanery Role: * | ||||
Please indicate accommodation required and amount to pay. (full Payment due by 1 August 2012). |
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| No of Rooms | Full Payment (£) | Deposit £50 per person (£) | ||
| Lakeside Centre @ £252.00 pp | ||||
| Alan Booth Centre @ £270.00 pp | ||||
| 2nd Person Sharing @ £236.00 pp | ||||
| Diocese * | ||||
| Deanery * | ||||
Second Person Sharing |
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If appropriate please provide details of the 2nd person sharing your accommodation |
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| Second Tile (Mr/Mrs/Revd etc): | ||||
| Second First Name: | ||||
| Second Last Name: | ||||
| Second Address Line 1: | ||||
| Second Address Line 2: | ||||
| Second Address Line 3: | ||||
| Second Post Town: | ||||
| Second County: | ||||
| Second Post Code: | ||||
| Second Tel No (inc dialling code) | ||||
| Second Email Address: | ||||
| Second Deanery Role: | ||||
| Please indicate any special dietary or other requirements | ||||