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GOURD RETREAT-SOUTHERN STYLE

REGISTRATION FORMS

PLEASE NOTICE THERE ARE SEPARATE FORMS FOR THOSE STAYING AT THE RETREAT CENTER AND THOSE STAYING ELSEWHERE.

 Registration form for those staying OFF CAMPUS:

Do not mail this registration form before December  12, 2009. I want everyone to have an equal chance at the classes.

Name__________________________________________________________________________

Address_______________________________________________________________________

Phone Number:________________________________________________________________

Email address__________________________________________________________________

I would like to register for the retreat @$25_________________________$________

Below are the numbers and titles of classes I would like to take.

 Prices are listed on the “classes” page.

Friday afternoon #_________________________________________________@$__________

Friday night #______________________________________________________@$__________

Saturday morning #________________________________________________@$__________

Saturday afternoon #______________________________________________@$__________

Sunday morning____________________________________________________@$_________ 

I would like to sign up for meals during the retreat. Please list which meals you want, the day and the prices:

Breakfast is $6.50,  Lunch is  $8.25,  Dinner is $9.50

Friday_______________________________________________________________$_________

Saturday____________________________________________________________$_________

Sunday______________________________________________________________$_________

YOU MUST PAY A DEPOSIT OF $50 WITH YOUR REGISTRATION. This will be applied to your totals.  The deadline for final payment is below.

Total…………………………………………………………..............................$___________ 

Your classes must be paid by February 28th

VERY IMPORTANT:

Please make your check payable to Charlotte Durrence and mail to:

Charlotte Durrence

1208 Hwy 119 South

Springfield, GA 31329 

 You will not be allowed to change classes after arrival at the retreat center.  No exceptions!!!   You may, however, sell your class to someone else.

IMPORTANT:  Please make a copy of this form for your records before mailing it.

Questions?????

Call me at 912-754-9479

Or email me at   gourds1@aol.com