Women's Retreat Registration
September 27-29, 2024
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) $129
Motel (Bring your own towels and toiletries) $134
Camper Park (Bring your own camper or tent) $111
I will arrange my own lodging off site $99
Would you like to sign up for the Outdoor Cooking Class?
Yes $7.00
No
Additional Comments
My Products
*
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Cabin
(Deposit Included)
$
129.00
Motel Room
(Deposit Included)
$
134.00
Camper Park
(Deposit Included)
$
111.00
Program and Meals Only (Housing Off Site)
(Deposit Included)
$
99.00
Outdoor Cooking Class
$
7.00
Quantity
1
2
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5
6
7
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9
10
Deposit Only
$
10.00
Quantity
1
2
3
4
5
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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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