50th Anniversary Conference Registration Form with Payment PayPal Standard

SAMS 50th Anniversary Retreat and Celebration Registration Form April 12-16, 2027 Ridgecrest Conference Center, NC

Please register for the retreat by filling the form below and submit payment (Fields with asterisks are required)
Full Name*

First NameLast Name
Spouse Name (if attending)

First NameLast Name
Please indicate how you would like your name on your name tag

First NameLast Name
For your spouse: Please indicate how you would like your name on your name tag

First NameLast Name
Names (as you want them on their name tags) and birthdates of children attending. Please include the month and year only
E-mail*
example@example.com
Secondary E-mail
example@example.com
Phone Number*
Note: Payments are processed through PayPal. You may pay using an existing PayPal account, Venmo account or any major credit card / debit card.

This payment is for the Retreat Registration only. You will still need to reserve your Room and Board through the Ridgecrest Room and Board link if you haven't already done so.
Registration options (please click on the box and pick your quantity)
prevnext( X )
SAMS Retreat Registration Adult
$69.00 Quantity

SAMS Retreat Registration Children 0-18
$ Free 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:

SAMS 50th Anniversary Retreat and Celebration Registration Form April 12-16, 2027 Ridgecrest Conference Center, NC