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Alpha

Use this form to register an interest in the Alpha course we will be running starting on Wednesday 23rd September 2009. 


Full Name: *
Full Address:
Contact phone number: *
Please tick any boxes that are appropriate:
I do not know anything about Alpha
I know a little about Alpha
I have done an Alpha course before
I have done part of an Alpha course before
email address (if you have one):
Do you currently attend a church: *
Yes
No
I would like...:
To be registered on the next course
To be sent more information about Alpha
To talk to someone about Alpha
If you said that you attend a church, which one do you attend?:
How Did You Hear About Alpha?:
What are some of your interests / hobbies?:
Please enter the verification number on the right:*
six five two three two
* Required Fields