Married Couples Weekend: Feb. 5-7, 2021

Married Couples Weekend

February 5-7, 2021
Name

First Name Last Name
Spouse's Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Your Parish or Church
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Dietary needs/Food Allergies
Registration Fee
prev next ( X )
Non-refundable Deposit The remaining $250 will be due at check in
$ 50.00

Full payment
$ 300.00
After submitting this form, you will be redirected to Paypal to enter payment information. Select the "Pay with debit or credit" option if you do not have a Paypal account.

You must submit a deposit or full payment with this form in order to be guaranteed space at this retreat.
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