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Women's Retreat Registration Form
By submitting this registration I agree to pay the fee described on the Women's Ministry pages for the Women's retreat scheduled this year.
 
1. Name *
 
2. Mailing Address *
 
3. City *
 
4. State *
 
5. Phone *
 
6. Cell Phone
 
7. E-mail Address
 
8. Special Needs or Allergies
 
9. Roommate Request (4 to a room)
 
10. T shirt Size *
S
M
L
XL
XXL
XXXL


 
 

1010 S  National Ave. | Springfield, MO 65804 | Phone: (417) 862-0789 | Fax: (417) 862-0795


 
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