Empowered to be Powerful 2020 Women’s Retreat
Rocky Gap Resort 10701 Lakeview Rd. NE, Flintstone, MD 21530
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Do you have any food allergies?
Yes
No
If you're going to avail yourself to double occupancy, do you have a roommate already?
Yes
No
If yes, give your roommates name
Please return this form with your deposit to a retreat committee member
Cost Includes:
Transportation
Breakfasts on Saturday and Sunday
Lunch on Saturday
Dinner on Friday and Saturday
Social on Friday
Hour of prayer
Hour of guided meditation
All classes and general sessions
Cost:
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Single Occupancy
$
400.00
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Double Occupancy/person
$
250.00
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Remaining Balance - Single Occupancy
$
300.00
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Remaining Balance - Double Occupancy
$
150.00
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Total
$
0.00
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