Men's Retreat Registration

Men's Retreat Registration
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number

Area CodePhone Number
E-mail
example@example.com
Your Church or Group you are attending with:
Please list the number and type of Food Allergies you or anyone else you are registering has.
If you have any questions related to Food Service, please email the office at info@nli.org.
Are you able to sleep in a top bunk?
Are you registering anyone besides yourself?
Attending
List the full name of everyone else you would like to sign up for the retreat.
Please enter the number of people you are signing up for each of the following options (even if it is just yourself).
Friday & Saturday - $65
Friday Only - $30
Saturday Only - $40
Comments or clarifications regarding your registration:
Would you like to pay online now? (This will save time during check-in, however you may pay with cash, check, or card upon arrival.)
My Products
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Men's Retreat, Friday and Saturday$65.00

Quantity

Men's Retreat, Friday Only$30.00

Quantity

Men's Retreat, Saturday Only$40.00

Quantity

Total $0.00
Payment Methods

Fastlane Checkout

Choose from one of the PayPal options to make your payment.

Contact Info

Payment Info
Should be Empty: