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CHRISTMAS BANQUET REGISTRATION 1
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Retreat Registration
First name
Last name
Address
City
State
Zip Code
Cell phone
Email
Church
Roommate Request
I am attending
Men's Retreat ($68)
Ladies Retreat ($68)
Housing Preference
Hilliker Lodge
Hilltop Lodge
Cabin
RV or Tent Site
Partial Attendance Discount
$40 off - Attending Friday only
$20 off - Attending Saturday only
Additional Comments/ Requests:
$
Proceed to Payment
We'll see you soon!
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