Meeting on the Embankment?

I have met the Bishop of Southwark on the Embankment. The card gives me four choices.

Before I choose…will I see this card again, or does it appear only once?

If you discard it, you can get it back. Once you pick your option that is the one you stick with, unless Failbetter gives you a chance to change in the future. This has not been hinted at.