Women's Retreat Registration and Deposit Form

  • WOMEN'S RETREAT 2026

    Linked to God, Lifted by One Another "So encourage each other and build each other up, just as you are already doing." 1 Thessalonians 5:11
  • Format: (000) 000-0000.
  • Would you like to be partnered with a roommate?*
  • Do you have a roommate selected? (The individual agrees)*

  • Resort Room Selection*

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    Single Room Payment Plan. This is the deposit or installment for the single occupant room. The total cost for the 4 days/3 nights at Kingsmill Retreat is $882 (including T-shirt). $50 deposit, total of $832 remaining, paid over 6 installments of $139.00.
    Single Room Payment Plan

    This is the deposit or installment for the single occupant room. The total cost for the 4 days/3 nights at Kingsmill Retreat is $882 (including T-shirt).  $50 deposit, total of $832 remaining, paid over 6 installments of $139.00.

    $50.00$50.00
      
    Double Occupancy Payment Plan . This is the deposit or installment for the double-occupant room. The total cost for the 4 days/3 nights at Kingsmill Retreat is $456/ea (including T-shirt). $50 deposit, total of $406 remaining, paid over 6 installments of $68.
    Double Occupancy Payment Plan

    This is the deposit or installment for the double-occupant room. The total cost for the 4 days/3 nights at Kingsmill Retreat is $456/ea  (including T-shirt).  $50 deposit, total of $406 remaining, paid over 6 installments of $68.

    $50.00$50.00
      
    Subtotal
    $0.00$0.00
    Tax
    $0.00$0.00
    Total
    $0.00$0.00

    Payment Methods (a 3.5% credit card/e-fund fee is included in payment)

    creditcard
    After submitting the form, you will be redirected to Apple Pay to complete the payment.
    After submitting the form, you will be redirected to Google Pay to complete the payment.
    After submitting the form, you will be redirected to Cash App Pay to complete the payment.
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