Ladies Retreat

Ladies Retreat
CONTACT INFORMATION
Church Name
Church Address

Street Address

Mailing Address

CityState / Province

Postal / Zip Code
Primary Contact
Primary Contact Phone Number
Please enter a valid phone number.
Contact Email
example@example.com
REGISTRATION
(Check the boxes that apply. Unchecked box will not be added to the total.)
prevnext( X )
# of Ladies Lodging at Camp(Do not include free Pastor's Wife)
$50.00 Quantity



FREE Pastor's WifeOnly 1 per church
$ Free Quantity



Single Day Attendees (please specify which day in the Notes section below)
$20.00 Quantity



# of Ladies Lodging at Nearby Hotel
$35.00 Quantity



Total

$0.00
* For single day registration, contact secretary@hoosierhillsbaptistcamp.org
Preferred Lodging (not guaranteed)

CabinDormEitherNearby HotelSingle Day Only
Notes / Special Requests:

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.

Should be Empty: