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For a brochure: Please fill out your details to register your interest for the next Word Alive conference.
To become a group organiser: Please fill in the form below making sure you have ticked the group organiser box.

GROUP ORGANISER 2010. Please send me information about how I could organise a group from my church or christian union to come to New Word Alive.First Name* Last Name* Email* Password* (Please type your password)Repeat Password* (To make sure you typed it correctly the first time) Phone

Address* Line1* Line2 Line3 City/Town* County Postcode*

Country*

Church Name Church Address Please send me information about how I could sponsor an international student bursary. Data protection* To process your request we need to add your contact details to our records. We will use this information only so that you can be kept up to date with news and information about New Word Alive. We will not pass your details on to any other organisations. Please tick here to indicate you have read and understood the Data Protection Policy.

Note: Field's marked with a (*) are required.

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Pwllheli, Wales

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