SCOTLAND RESIDENTIAL

REGISTERATION

Register to join us on this journey!

Scotland Residential
Your Name
Your Name
First Name
Last Name
Do you have any medical conditions?
Next of kin details (Emergency contact)
Next of kin details (Emergency contact)
First Name
Last Name
Declaration

Departing: Thursday 23rd June 10pm
Returning: Sunday 26th June at 10pm

3 Full Days of Fun & Activities!

Breakfast, Lunch & Dinner included
Travelling by coach from East London Mosque

£200 per person all inclusive
Any queries, email us at info@sinceregiving.com
or call Br. James 07453 326 944

Once you have registered, you can make a payment to our account using the reference “Scotland2022”

Account Details
Account No: 04087316
Sort Code: 08-71-99