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CLC Married Couples Retreat
July 11 - 13, 2019 - Total Cost: $525 + marriage assessment fee
8
Questions
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1
Husband's Name
*
This field is required.
First Name
Last Name
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2
Wife's Name
*
This field is required.
First Name
Last Name
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3
Cell Phone Number
*
This field is required.
Area Code
Phone Number
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4
Email
*
This field is required.
example@example.com
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5
Choose your food options
*
This field is required.
Included in the cost of the trip is dinner for Thursday night and lunch for Friday.
Please Select
Chicken
Vegetarian
Please Select
Please Select
Chicken
Vegetarian
HUSBAND Dinner Choice
Please Select
Salmon
Vegetarian
Please Select
Please Select
Salmon
Vegetarian
HUSBAND Lunch Choice
Please Select
Chicken
Vegetarian
Please Select
Please Select
Chicken
Vegetarian
WIFE Dinner Choice
Please Select
Salmon
Vegetarian
Please Select
Please Select
Salmon
Vegetarian
WIFE Lunch choice
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6
Do you want to register for the breakfast option?
*
This field is required.
Breakfast is $25 per person/per day
YES
NO
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7
How many breakfast tickets would you like to purchase?
*
This field is required.
This is one ticket per person for Friday and/or Saturday
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8
Would you like to pay in installments or one lump sum?
*
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NOTE: This amount is registration cost only. Everyone will be taking a marriage assessment before the retreat. You will contacted about the details and payment of the assessment.
3 Installments of $175 each
One payment of $525
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9
Please choose a payment option
*
This field is required.
If you chose the breakfast option please select the quantity of tickets you wish to purchase
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ORDER SUMMARY
Total cost
USD
Total Amount Payment - couples retreat
$
525.00
+
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Installment Payment - couples retreat
$
175.00
+
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Optional Breakfast Tickets - couples retreat
$
25.00
+
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Maldives
Mali
Malta
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Martinique
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Mayotte
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Nigeria
Niue
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Northern Mariana
Norway
Oman
Pakistan
Palau
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Panama
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Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
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Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
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Senegal
Serbia
Seychelles
Sierra Leone
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Slovakia
Slovenia
Solomon Islands
Somaliland
South Africa
South Ossetia
South Sudan
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Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Other
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Croatia
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lesotho
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Other
Country
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