Enquiry form Name*church member*YesNoAddress Street Address Address Line 2 City ZIP / Postal Code Email PhoneI would like to:*arrange a baby dedicationarrange a Pastoral visitbook church for a weddingbook church for a funeralget more information on Seventh-day Adevntistshave special prayerotherotherPrayer RequestBaby DetailsChild's Full Name*Child's Date of Birth* Date Format: DD slash MM slash YYYY Gender*malefemaleplace of birthParental DetailsMother's Name*Father's Name*Type of DedicationdedicationSabbath Worship Service [Every second Saturday in the month]Community Dedication [Sunday] a fee on £30.00 is payableHomeVestryCertificate Requestcertificate*A Framed Certificate with Baby’s picture at a cost of £10.00A Standard Certificate without Baby’ picture – no chargeAttach photo Drop files here or CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.
