TitleMiss Mrs Ms Dr Other
GenderMale Female
Christian name
Surname
Email
Building name
(if appropriate)
Address line 1
Address line 2
Town/City
Postcode
CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamas, TheBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurmaBurundiCambodiaCameroonCanadaCape Verde IslandsCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatia (Hrvatska)CubaCyprusCzech RepublicDemocratic Republic of CongoDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly See (Vatican City State)HondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, Democratic Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiue IslandsNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandPolandPortugalPuerto RicoQatarRepublic of CongoReunionRomaniaRussian FederationRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre & MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSão Tomé & PríncipeSaudi ArabiaSenegalSerbia, Republic ofSeychellesSierra LeoneSingaporeSlovakia (Slovak Republic)SloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanTanzaniaThailandTogoTokelau IslandsTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands (British)Virgin Islands of the USAWallis and Futuna IslandsWestern SaharaYemenZambiaZimbabwe
Home telephone
Work telephone
Mobile telephone
Special dietary/access requirements
UK/European Union passport holder?
I wish to receive future mailings by post (generally one per year)YesNo
I wish to receive future mailings by emailYesNo
I'm happy for you to contact me about fundraisingYesNo
You can contact us at any time to update your mailing preferences.

Year of Ordination/
Commencement of ministry
If you've not been to a Proclamation Trust event before, how did you hear of this conference

Your church/organisation

Your role Woman in Ministry

Sorry, there are currently no single rooms available. You are welcome to indicate in the 'sharing with' box if you would like a single room if one becomes available; sorry, but we can make no guarantees.
Book a twin room at a cost of £375

Please select a payment option:
Pay the full fee now
Pay a £50 deposit now
with the remainder debited 4 weeks before the conference.
Cancellations within four weeks of the conference start date will be charged for the full conference fee. Before this point we able to offer a full refund, exclusive of the £50 non-refundable deposit.

Total costPlease choose your accommodation & payment options

Workshop choices for you

We will only use the data you have provided for the purposes of handling your booking, and to keep in touch with you if you ask us to. You can read our data protection policy here.