CLC 2017 Weekend Away Booking Form
Please fill in the form below to book on to the CLC Church Weekend Away
Personal Information
As the person making the booking, please include some personal information so we can get in touch if needs be
Name
*
First Name
Last Name
E-mail
*
Phone Number
*
-
Booking Details
Who are you booking for?
*
Please tell us about your room preferences
*
We cannot guarantee these but will do our best!
Total Numbers
Adults:
*
Please Select
0
1
2
3
4
5
Children aged 3 and above:
*
Please Select
0
1
2
3
4
5
Children aged 2 and under:
*
Please Select
0
1
2
3
4
5
Total Amount to Pay (£):
*
Payment
Please indicate your preferred method of payment:
*
BACS (Sort Code: 08 92 99 Account Number: 65444591) Bank Address: The Co-operative Bank PLC 2-6 Alma St, Luton, LU1 2PL
Monthly Installments (paid over three months preferably on the 1st of every month)
PayPal
PayPal Payment
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