Women's Retreat Registration
September 22-24, 2023
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
Home church or group that you would like to be housed with.
Lodging Preference (Prices include the retreat, meals, and on-site lodging)
Cabin (Bring your own bedding, pillow, towels, and toiletries) $125
Motel (Bring your own towels and toiletries) $130 MOTEL FULL-WAITING LIST ONLY
Camper Park (Bring your own camper or tent) $108
I will arrange my own lodging off site $99
Would you like to sign up for the craft project? Join us for a quick and easy project!
Wall Hanging $5.00
Magnet $1.00
Additional Comments
Payment Options
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next
( X )
Deposit Only
$
10.00
Cabin
$
125.00
Motel Room
$
130.00
Camper Park
$
108.00
Program and Meals Only (Housing Off Site)
$
99.00
Wall Hanging Craft
$
5.00
Quantity
1
2
3
4
5
6
7
8
9
10
Magnet Craft
$
1.00
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
Submit
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