2020 - Ladies Retreat Registration
Jan. 24 - Jan. 26, 2020 | If you wish to register for the Ladies Retreat, please complete this form and click Submit.
Name
*
Email
*
This address will receive a confirmation email
Phone
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Bedding Preference - Please check which option you would be willing to bunk in
*
Please select one option.
Top Single Bunk
Bottom Single Bunk
Share Queen Size
If you are willing to bunk in more than 1 option, please list other options:
*
Food Allergies
*
Registration Fee
$185.00
Payment Options
*
Please select one option.
Credit Card
Cash/Cheque-in person
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
Description
Jan. 24 - Jan. 26, 2020
If you wish to register for the Ladies Retreat, please complete this form and click Submit.
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