IMA 2010 ‘The way we work now’

(Please complete in capitals, one form per person)

Title......... First name............................. Initials.............

Surname.....................................................

Email................................................

Address:

House..................... Street............................

Town/City....................... County..........................

Postcode.........................

Phone.............................. Mobile..........................

Denomination.................. Team...........................

Please book the following conference accommodation

All rooms are En-suite

Full conference. Lakeside...............................

Alan Booth Centre................

to share or single..................

Individual day/s/ dates ....... incl. lunch and evening meal: £65 per day

Dietary requirements...........................................

Payment enclosed (minimum £50 deposit for full conference £25 for single day) Full payment by 31 December 2009 to claim discount. Thereafter the full cost of £300 will apply

Please return to: John Freeman, South Yorkshire Workplace Chaplaincy, Cemetery Road Baptist Church, Napier Street, Sheffield. S11 8HA. (Phone 0114 2755865 Email office@sywc.org.uk)