Instep Booking Form 2019

Please complete the following Form if you paying for a room at the INstep Men's Weekend being held at the Eilm Christian Conference Centre and wish to pay by Electronic Bank Transfer only. For those paying by installments, please complete the Booking Form as previously supplied with the INstep Men's Weekend Information leaflet enclosing the appropriate number of post-dated cheques, and posting to the address provided.

Instep Booking/Consent Form

Please complete the following form carefully, submit your payment using the Bank Transfer details and then press the submit key..

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Church if applicable: *

By Ticking this box I confirm that I am responsible for my own safety and belongings whilst I am at The Elim Conference Centre Instep Weekend. *

By Ticking Here I Agree.

I am now submitting my payment today by electronic Bank Transfer as follows:- PLEASE TICK ONLY ONE BOX. *

Full payment of £175 in a single en suite room. Full Payment of £155 in a twin bed en suite room.

Now please make your payment using the following Bank Transfer details = Barclays Bank, Sort Code = 20-07-89 Account No = 40744719 Name = INSTEP and use the following text Box for any special requirements or instructions :- *

Submit