False Intimacy London 2012 Application Form

False Intimacy is a one-day conference addressing the pastoral issues faced by ministers and church leaders when helping those struggling with sexual purity, pornography use and sex addiction both within and outside the church. Please see the False Intimacy page for more information about the conference. Registered users can log on and book a place filling in the form below.

Date: 15^th March 2012

Time: Registration 09:30 - 09:45 | Morning 09:45 - 13:00 | Afternoon 14:00 - 16:00

Venue: Methodist Central Hall, Storey's Gate, Westminster, SW1H 9NH

Cost: £25 per person.

Please note that while refreshments will be provided you will need to bring your own lunch.

Title *

Forename *

Surname *

Organisation *

Please let us know which organisation or church you are from.

E-mail *

Contact Number *

Address *

Postcode *

Number of People *

Please select the number of people you are booking in.

Payment Options

Direct Transfer

Cheque

PayPal

Please select how you would like to pay for this conference. Once we receive your booking request we will contact you with the payment details and final invoice.

Keep in Touch

Yes

Would you like to be added to our e-newsletter list to be kept in touch about future news, events and courses?

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False Intimacy London 2012 Application Form

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False Intimacy London 2012 Application Form