Staying Onsite

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 at the retreat center:

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 for $25.00 ________________________________________$________

Prices are listed for each day that you plan to spend the night at the

Retreat Center. This includes lodging for one night and 3 meals.

Some rooms are upstairs. Let us know if you absolutely cannot walk up the stairs.

Friday night + 3 meals @ $65............................................................................... $_______

Saturday night + 3 meals @ $65.............................................................................. $_______

My preference for a roommate is:______________________________________________

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 # ____________________________________________________________@$__________

YOU MUST PAY A DEPOSIT OF $100 WITH YOUR REGISTRATION. This will be applied to your totals. The deadline for the final payment is February 28, 2010.

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

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

Charlotte Durrence