Ladies’ Encounter Retreat - October 8-10, 2010
The Ladies' Encounter Retreat will be October 8-10, 2010. A $20 deposit is required for registration. Please fill out all the information below and submit your registration.
Full Name
*
DOB (mm/dd/yyyy)
*
Address
*
City
*
ZIP
*
Main Phone
*
Alternate Phone
*
Are you in a Life Group?
Yes
No
Which Life Group?
*
Have you ever been to a Ladies' Encounter?
Yes
No
Additional Payments
Add nothing
Add $25 (Add $25.00)
Add $50 (Add $50.00)
Pay in Full (add 120) (Add $120.00)
Other Amount
$
Your Email Address
*
Base Price
$
Modifications
$
Total
$
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