UK Registration FormONE For Life Please enable JavaScript in your browser to complete this form.InformationHis Name *FirstLastHer Name *FirstLastHis Address *Address Line 1Address Line 2CityCountyPostal CodeHer Address *Address Line 1Address Line 2CityCountyPostal CodeCountry *Choose a countryUnited KingdomIrelandHis Email *Her Email *His Phone *Her Phone *His Age Range *18-2526-3940-5960+Her Age Range *18-2526-3940-5960+His Church Name and address, Pastor's name *Her Church Name and address, Pastor's name *Preferred Time (tick all that apply) *Monday eveningThursday eveningSaturday eveningTuesday eveningFriday eveningSunday daytimeWednesday eveningSaturday daytimeSunday eveningHow you want to attend the course? *In PersonOnlineEitherHis - How you want to receive your manual? *Paper (+ £15)Online - ElectronicHers - How you want to receive your manual? *Paper (+ £15)Online - ElectronicCourse Language *Please choose a languageEnglishSpanishPortugueseLeaders - English *Please choose a leadership coupleCarlton and Mavis JonesClive and Beverley JosephFrank and Deborah (Philippa) OkolieGerry and Maria Hornsby - OdoiJoanne and Weng Chin OhKaiser and Louise AbrahamsMike and Lyn ThomasNeil and Aileen HobbsOswald and Wendy PfupaRoy and Wendy McEwenRowland and Folake HenshawSam and Jenny JayakrishnaSteve and Jing HancockWil and Trish RobinsonArmando and JessicaLeaders - Spanish *Please choose a leadership coupleArmando and Jessica MirandaLeaders - Portuguese *Choose a leadership coupleAlex and Gislaine SilvaGustavo and Ana CunhaAlex and Polyana GanecoYour Personal Details (please choose) *Yes - 2=1 may keep these contact details so we can be contacted by email (or other methods) with updates and invites to future courses/conferences and other events. Any prayer points and our attendance record will also be kept for the duration of the course only. We understand that 2=1 will not share our details with anyone else.No - 2=1 may not keep these contact details after our potential course is finished.How did you find out about this course?CommentsPaymentCOURSE Prices (per person) Standard Price Concession Price* £30 online £20 online £45 paper manual £35 paper manual * Concessions include: Those who are in full time Christian work Those who are full time students Those who are retired Those who are on benefits Those who have already taken any one of our courses. His PaymentChoose an optionSTANDARD PRICE - Online manualSTANDARD PRICE - Paper manualCONCESSION PRICE - Online manualCONCESSION PRICE - Paper manualHer PaymentChoose an optionSTANDARD PRICE - Online manualSTANDARD PRICE - Paper manualCONCESSION PRICE - Online manualCONCESSION PRICE - Paper manualPayment MethodChoose onePayPal / Credit card / Debit CardBank Transfer2equal1 BANK ACCOUNT 2equal1 (UK), account 62677369, sort code 40-24-17Name of your account *Payment Date *Total - His and Hers£0.00AgreementBy clicking REGISTER we understand that we will pay the fees as shown on the next page. The fees quoted are per person, but are both paid in the one payment. We understand that our fees each may be different to the other depending if we each pay a standard or concession price and if we want an online or paper manual. Online manuals will be released to our email address via a password prior to the course providing payment has been made. Our Group Leaders will explain this process to us. If we wish to cancel our registration, we must request a refund in writing no later than one (1) week prior to the start of our assigned group.NameRegister
