EBENEZER Operation Exodus - Conference Registration

 

How to Register Online for the Conference:

Part One - Pay for your accomodation

Please register by selecting your requirements below and clicking the "Select and Pay Today!" or the
"Select and Pay Later!" links. It is not neccessary to pay in full at the time of registering, but you will be asked
to pay a deposit

To return to this page from the shopping cart click on the link "Continue Shopping"

When you have completed your registration click the "Go to payments" button on the shopping cart where you
can pay by Credit Card.

If you wish you can pay by cheque. Simply click the "Payment by cheque" option within the payments section
Cheques should be made payable to Ebenezer World Travel and sent together with details of your name, address
and telephone number (to ensure matching of order with cheque payment) to:-

Ebenezer Emergency Fund UK, First Floor, 74 High St, Newton-Le-Willows, Merseyside. WA12 9SH
Tel: 01925 299070 Email: mail@ebenezeruk.org www.operation-exodus.org

If you have paid a deposit rather than paying in full the balance of fees are payable by 30th May 2012.

 

Conference Booking

 

Adult Standard - £158

Select and Pay in Full Today!     Select and Pay Deposit of £25 Today!     Review Cart

 

Adult Ensuite - £184

Select and Pay in Full Today!     Select and Pay Deposit of £25 Today!     Review Cart

 

Child Under 13 - Standard - £Nil

Select!     Review Cart

 

Child Under 13 - Ensuite - £Nil

Select!     Review Cart

 

 

Payment Rest of Fees

If you have previously paid a deposit then you need to pay the rest of your fees by
30th May 2012.

Pay Rest of Fees!

 

 

 

Part Two - Accomodation Preferences and Additional Information

After you have paid for your accomodation above, please can you complete the following form

 

Contact Information

 

First name:       Surname:

Adult
Child

First name:       Surname:

Adult
Child

First name:       Surname:

Adult
Child

First name:       Surname:

Adult
Child

Number of Children under 13:

 

Address
Town / City
County / State
Country
Post Code
Telephone - Day
Telephone - Evening
E-Mail

 

 

Accomodation Preference

 

Please check your preference for room type

Single - Standard
Single - En Suite

Twin - Standard
Twin - En Suite

Double - En Suite

3 Bed Family - Standard
3 Bed Family - En Suite

4 Bed Family - Standard
4 Bed Family - En Suite

5 Bed Family - En Suite

Standard room accomodation is limited - so book early if you want a standard room. Please note that we are unable to guarantee your choice of room, but we will do our best!

 

 

Additional Information

 

Please check if you require

a room for disabled access and facilities, only in twin/double rooms.
a room with level access to facilities (most en suite twin/double rooms are in premises with lifts).
a room with a cot (cots can be placed in many of the twin/double en-suite rooms).
a special diet. Please indicate the nature of your dietary requirements below

 

transport to/from Swanwick from/to Derby Railway station. Times of journeys will be sent to delegates later.

 

 

Thank you for completing this form. Please click the submit button below

Ebenezer Emergency Fund is committed to using all reasonable endeavours to ensure compliance with the requirements of the Data Protection Act 1998.