Christians Aware Annual Conference at Hayes Conference Centre
January 8th - 10th, 2016

If you plan to attend the WHOLE CONFERENCE please complete this form.
Send it to Christians Aware, 2 Saxby Street, Leicester  LE2 OND
Cheques payable to ‘Christians Aware’

Name _____________________________________________________

Address_____________________________________________________________

__________________________Post Code__________Telephone_______________

Email________________________________________________________________

I/We wish to attend the annual conference                    _____

I/We have room for _____ passengers                                                              _____

I/We would like our children to join the creche/children’s workshop        _____

Names & ages of children_______________________________________________

____________________________________________________________________

I/We have special dietary and/or mobility needs; please specify:      

___________________________________________________________________

___________________________________________________________________

I/We would like to book the following: Numbers Cost
The WHOLE CONFERENCE                 Adult(£160) ______ ____
(Ensuite £200)
All children are very welcome Child 6-16 yrs (£95) ______ ____
Child (5 and under) ______       Free

Donation towards a bursary for Jeff Halper
to attend the conference from Israel ____
Donation towards cost of conference ____
Total _____

I/We enclose the full cost / a deposit of £120 per person _____

If you wish to pay by bank transfer please send us an email stating you have done so!
40-52-40 a/c 00011934

Please note all standard rooms are up a flight of stairs.
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Arrived Name Bus. Don. Dep. Bal. Due Paid at Conf.

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