2021 AGM Booking Form

Personal Details

Title (required)

First Name (required)

Surname (required)

Address Line 1 (required)

Address Line 2

Address line 3

Town/City (required)

Postcode (required)

Telephone Number (required)

Email Address (required)

Attending Capacity

Please send me a hardcopy of AGM papers (required)

YesNo

Individual Membership Number

Attending as Visitor Only

YesNo

If you are attending as the appointed representative for either your church or district please complete the below.

Attendings as District Council Representative

Yes

District Council representing

Attending as church Representative

Yes

Name of Church you are representing

Attending as Lyceum Representative

Yes

Attending as SNUi Representative

Yes