Complete and submit the form below to get someone out to speak to your group about the work of The Leprosy Mission.  We will be in touch to confirm your booking.

 

 

Would you please provide a Leprosy Mission speaker for our

 

Youth group      

 

Other         

Name of organsiation:         
 

 

Contact person:         

   


 

phone and mobile contact nos:

 

 

Email contact:
 


 

Address contact:

 
 


  

 

Suggested dates:        

 

Time of meeting        

 

 Would a video, DVD or powerpoint be useful?