SCA Winter Retreat Registration
February 16 - 18, 2018
Name
*
First Name
Last Name
E-mail
*
Phone Number
*
-
Area Code
Phone Number
Number of Previous Retreats:
*
How many?
0 - My First Retreat
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30+
Transportation:
I am taking the train with the group.
I am driving.
Other
Registration Payment:
*
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Winter Retreat Full Payment
$
225.00
Winter Retreat Deposit Payment
$
125.00
Winter Retreat Scholarship Request & Payment
$
125.00
Required Payment: $125.00
Requesting $100 Scholarship
Requesting $75 Scholarship
Requesting $50 Scholarship
Requesting $25 Scholarship
Item subtotal:
$
0.00
Subtotal
$
0.00
Tax
$
0.00
Total
$
0.00
I am driving and can take the following number of additional passengers:
I am willing to do service for my fellows by planning and leading a workshop. My preferences in order are:
Additional Message for Retreat Committee:
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PayPal Payment
Should be Empty: