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In the Company of the Chalice

Retreat Registration


First Name:
Last Name:
Email Address:
Street Address:
Street Address 2:
City:
State:
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Day Phone:
Evening Phone:
   
Payment Type: $250 Deposit
$500 Full Payment
   
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Please check all applicable boxes:
   
Dietary considerations
Handicapped access required.
Please help me find a roomate.
I would like to share a ride. Please contact me.
Other


Retreat Registration is $500
Fee includes all retreat activities. Wine & Cheese Reception, light breakfast Saturday and Sunday, Saturday lunch and Sunset dinner.