Contact Us

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123 Street Avenue, City Town, 99999

(123) 555-6789

email@address.com

 

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Ladies Retreat

 
 

Registration is a two step process. Please make sure to fill out & submit the FORM and then proceed with PAYMENT below.

You will not be registered until both steps are complete.

Please contact us before proceeding if you requires sponsorship, have dietary restrictions or medical concerns.

LADIES RETREAT WEEKEND

May 3 - 5, 2019 

Information
Please include your full mailing address.
Phone *
Phone
When will you be joining us? *
Check all that apply.
Please leave details below of any special requests you may have and we will try our best to meet your needs.
Medical Alert
Name, Address, Relation, Home Phone & Cell Phone Number

Please SUBMIT your form above before proceeding with payment below.


PAYMENT

 

Proceed below for payment by credit card. For payments by cash or cheque, please get in touch with your assembly representative.

Ladies Weekend
from 85.00
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