PRINT OUT, FILL IN & SEND
Name:
__________________________________________________________________________
Address: __________________________________________________________________________
Email: ____________________________________@____________________________________
Phone: ___________________________________
Church: ___________________________________

Male / Female______ Age:______ Vegetarian?______
Amount enclosed: €________________
Payment Details

Book before 1st Dec for early bird special price
Unwaged €79 (£50)
Waged €95 (£65)

After 1st Dec
Unwaged €90 (£60)
Waged €105 (£75)
Private single rooms - add €20 (£15) to above prices

Special Married/Family rates available
Call for prices

All options include Full Board, €10 new years party pass
Use of all facilities and a packed programme


3. Other Prices
Day Visitor - €20 (includes 2 meals and all activities)
Single ticket for New Years Party - €20 at door

2 nights - €75 (£50)
1 night - €40 (£25)
Kids - under age 3 are free. All other €40 for weekend
Please book in if only coming for part of the weekend so we can have meals available.

Payment
€20 non-refundable deposit is required
Cheques Payable to “Elevate Conference”

Please print out this form, fill it in and send it with a cheque to:

         Elevate Conference, 183 Hillside, Greystones, Co. Wicklow