Fall Retreat - October 9-11, 2026
Name
*
First Name
Last Name
Mobile Number
*
Email
*
example@example.com
Select your preferred accommodations below
*
Double Occupancy - Total fee $325/occupant (I would like Heart2Heart to select my roommate)
I already have a roommate/roommates (list name and email addresses in the space below).
I will be staying off-site (commuter). Total Fee $200 (commuter)
Roommate Name
First Name
Last Name
Roommate Email
example@example.com
How did you learn about the retreat?
*
Social media
Heart2Heart website
Friend (please give friend’s name in space below)
Other
Name
Name
Last Name
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Reservation Fee - You will be invoiced for balance
If paying reservation fee only you will be invoiced for balance.
$
50.00
Payment Methods - Selecting ACH (bank transfer) as your payment method helps Heart2Heart avoid credit card processing fees, allowing more of your payment to directly support our ministry.
Credit Card
ACH Bank Transfer
Scholarship Fund. Check below if you would like to help cover the retreat cost for a woman who otherwise would not be able to attend.
I would like to donate to the Retreat scholarship fund.
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