
| 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” |
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| Please
print out this form, fill it in and send it with a cheque to: Elevate Conference, 183 Hillside, Greystones, Co. Wicklow |
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