THE HOUSE OF PRAYER

To book for a retreat or a course, please print this page, complete
the form and return it to us at:

The House of Prayer
35 Seymour Road
East Molesey
Surrey KT8 0PB.

Name of Retreat/Course ……………………………………………………………

Date of Retreat/Course ……………………………………………………………..

Name ………………………………………………………………………………...

Address ……………………………………………………………………………...

………………………………………….. Post Code ………………………………

Tel No ………………………………….. Email ………. …………………………..

Vegetarian/Non-Vegetarian/Other Dietary Requirements

I enclose a non-refundable deposit of 25% or full payment of £…………..

Cheques should be made payable to The House of Prayer.

For acknowledgement please enclose a SAE.

Note: Concessionary fees apply to those who are unwaged.