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ROMAN CATHOLIC CHAPLAINS IN HEALTH CARE
approved by the Bishop's Conference of England and Wales

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Membership Application

Name:
Title:
Address:
Telephone No.
Hospital Trust(s)

Please tick the appropriate job description:

Chaplain Assistant Chaplain     Chaplaincy volunteer

Please print out this form from your browser, and send it together with the membership fee of £12 to the Secretary:

Rev Jeremy Howard
17 Kidderminster Road
Bromsgrove
B61 7JP

tel. 01527 835712

Email: jeremy@howard4.swinternet.co.uk or rcchc@sparx.co.uk

Cheques should be made payable to Roman Catholic Chaplains in Health Care.

Catholic priests, deacons and lay people involved in chaplaincy in Health Care.

Secretary of RCCHC, Rev Jeremy Howard
RCCHC site created by Sparx Internet Services