Please complete the request form below. We will contact you to confirm your booking.

Event Name(Required)

Event Date(Required)

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Departure Date

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Lead Guest Name(Required)

First Name Last Name

Telephone Number(Required)

Email Address(Required)

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Home Address

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Number of Adults(Required)

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Number of young persons 12-17 years

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Number of young persons 5-11 years

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Number of young persons under 5 years

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Accommodation Type

Select Other if you have a preferred room number

None - day visitor

Accessible room

Dormitory

En-suite

Other

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Extra meal requirements

For example lunch on your last day

Special Dietary Requirements

Please tell us of any special dietary requirements such as vegetarian

Any Allergies

Please tell us of any allergies in your party

Preferred payment method(Required)

Bank transfer (details below)

Card payment on arrival

Cash payment on arrival

Please type these letters into the box below

For bank transfer –
Bank: Santander
Account Name: General Conference of the New Church (The)
Sort Code: 09-02-22
Account Number: 10899393
Reference: ‘Your name’
IBAN: GB82ABBY09022210899393

If you have any questions about our events, please contact enquiries@purleychasecentre.org.uk  or telephone 01827 712 370