Spirituality Group Residential Booking Form

28-29 September 2010 at the Guy Chester Centre, London N10

By filling in this form you book for the residential (or register your apologies). Once you've booked, you will receive an invoice.

An acknowledgement tells you that it has worked.

First name:

Surname

Address:

Town:

County:

Postcode:

Country:

Telephone:

Mobile:

Email Address:

Expected time of arrival;

Registration is from 12.30pm on Tuesday 28 September. The Residential starts with lunch and concludes after lunch on Wednesday 29 September.

If you are presenting apologies, please delete the information from the boxes below and select the appropriate option from the final pull-down menu in the bright yellow box.

Expected day and time of arrival:

Expected day and time of departure (lunch on Wednesday 29 September is at 1.00 pm)

Any special dietary or other requirements?

Click here for advice.

Telephone number for emergencies (eg if you are taken ill)

Name of person whose number that is:

Please confirm your booking/apologies by selecting from the pull-down menu below:

You will receive an acknowledgement once you click the send button below.

Contact Lorraine Shannon if you're having problems.