PLEASE PRINT THIS FORM AND RETURN TO:
LGCM, OXFORD HOUSE, DERBYSHIRE STREET, LONDON, E2 6HG, UK
OPTION A
We provide only the certificate and the name of a person to contact.
Once we receive payment you will be contacted again.
[For current National LGCM members this fee is waived.]
Cost £20.00 (cheques/PO’s payable to LGCM)
OPTION B
We provide the certificate, the name of a person to contact AND a copy of a very useful book [Equal Rites: Lesbian and Gay Worship, Ceremonies and Celebrations] which will help you plan your service - it will give you many ideas, including how to plan and structure the event; choices for readings, prayers etc.
Once we receive payment you will be contacted again.
Cost £35.00 inc p&p(cheques/PO’s payable to LGCM)
I would like option A/B (please delete as appropriate)
I enclose a cheque for £_______ made payable to LGCM
OR
My MASTERCARD/VISA card number is:
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ exp. date _ _ / _ _
Name:
Address1:
Address2:
Address3:
Postcode:
Home tel.:
Work tel.:
E-mail address:
