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Ebenezer Bible Fellowship Church

Women's Conference

Registration Form

Please note: Due to Covid, Ladore Conference Center is currently recommending masks when in close contact with other attendees (i.e. waiting in line for meals, etc.). We will keep attendees updated as we get closer to our dates with their current Covid guidelines. Thank you for understanding!

Today's Date

Date

Name*

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

E-mail*

example@example.com

Phone*

Format: (000) 000-0000.

Roommate Request

This does not register your roommate. Roommates need to submit their own registration form.

$135/person (3 in a room - third person is on a cot)$166/person (2 in a room)$263/person (1 in a room)$50/person Day Rate: lunch and dinner Included.$60/person Day Rate: breakfast, lunch, and dinner included

NOTE: Registration includes program, 2 night's stay, linens, 6 meals (1 on Friday evening, 3 on Saturday & 2 on Sunday). Each room has 2 twin beds and a cot. (Single room has one king-size bed.) All rooms have their own private bath. Handicap accessible rooms with a roll-in shower with seat are available upon request. Special dietary needs can be accommodated. Check-in is at 5pm, and we will have a light meal available Friday evening after check-in.

Yes ($5/person)No ($0)

I would like information regarding a partial scholarship (available for triple room only)I would like a handicap accessible room (has roll-in shower with padded bench)I have special dietary needsOther

Please specify your dietary needs:*

I would like to ride on the church bus (will leave church at a time TBD). Available to first 10 inquiries.

Any special notes or questions? You can contact Krsty Hard: 610-868-5501, kristy@aplaceforyou.org.

Total Due $

Pay Online NowBring/Send a check

Online Payment Amt

USDWomen's Retreat

Check Instructions:

Checks should be made payable to Ebenezer BFC, Memo: Women's Retreat.
Please put in the office drop box, or mail to the church: 3100 Hecktown Rd. Bethlehem PA 18020.
Checks must be received no later than March 11, 2022 or your reservation will be forfeited.