BE STILL AND KNOW
Women's Retreat
November 11-13, 2022
Cost is $200
Name
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Emergency Contact
*
Emergency Phone Number
*
Please enter a valid phone number.
Allergies/ Medical Condition/ Dietary Restrictions
Rooms include two queen size beds. Should you have a friend you would like to share a room with please let us know below.
Name of friend you would like to room with
First Name
Last Name
.
Name of your favorite praise or worship song?
Payment Options
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Pay in full
$
200.00
Deposit
A reminder email of the remaining balance will be sent to you with a link for you to make your final payment. Final payment will be due by November 1, 2022.
$
50.00
Credit Card
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