WINTER RETREAT 2009
CONGREGATIONAL REGISTRATION FORM
Congregation & Address:
Contact Person/Phone & E-mail:
Additional Money for Larger T-Shirt
add $1.00 for each X
+
Number of Participants
+
=
X
Total Amount Due:
(Must be postmarked by February 7, 2008)
After
2/7/08
the fee is
$25.00
per participant
X
=
AGE
Specify age
for 18 &
Under
First & Last Name
(Please Print)
T-Shirt Size
($1 extra for
each X over XL)