BCDM Module Payment Form for Groups
Welcome to the module payment form for groups of three or more from the same parish. Please answer the questions as accurately as possible.
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Which module have you registered for?


 
First name

 
Surname

 
Groups of three or more from the same parish receive a 20% discount on the normal price of £25 per module.  Please use the questions below to make a payment of £20.  Thank you. *

If you are unable to pay online, please bring a cheque made payable to Coventry DBF or cash to the first session.
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Thank you for completing your payment.  We look forward to seeing you at the module.
Please select 'Submit' below.

Thank you.