REQUEST TO PARTICIPATE IN THE WEEK OF ACCOMPANIED PRAYER

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* 1. What is your full name and title?  (e.g Mrs Charlotte Robinson)

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* 2. What contact phone number would you like us to use?

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* 3. Please confirm your email address

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* 4. What is your post code?

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* 5. Do you want to do a whole week or a half week?

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* 6. How do you want to do the half hour sessions with your spiritual director?

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* 7. What time of day would you prefer for your half hour session with your spiritual director?  Please choose one of the options and add any further information in the comments box below.  This will help us find a suitable time for you.

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* 8. May we ask which  church you belong to? (this can sometimes help us match you with an appropriate spiritual director)

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* 9. Are you able to pay by BACS transfer direct to the Sunnyside bank account?  (we will send you the bank details and alternative payment options when we have allocated you a place)

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* 10. Thank you for filling in this form.  Please press the green"done" button below.  The form will then go straight to the organiser - you don't need to do anything further.

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