NEI Women's Retreat 2017
Please note, one person per church should register for all the ladies attending the retreat and pay with 1 transaction!
If Plan A is selected under "Registration Options", all 10 ladies must be registered at the same time to receive
the discount.

Be sure that you have your credit card or checkbook ready to pay at the end of your registration. A link will be provided
on your confirmation page that will take you directly to the payment page.

If you have any questions about online registration call the District Office. Phone: (765) 664-8950.

Name of Person Registering Group
Your answer
Church Name
If "Other" please enter church name here
Your answer
City
Your answer
Phone Number
Your answer
Email Address
Your answer
Total Number attending retreat from your church
Your answer
Registration Plan
1 person should register everyone from your church & pay w/1 transaction! If Plan A is chosen, all 10 ladies must be registered at the same time to receive the discount.
First and Last Names of those attending from your church
Your answer
Names needing seating for Mobility Restrictions & friend's name
Your answer
Names needing seating for hearing/vision assistance & friend's name
Your answer
Number of people who need gluten free meals
Your answer
Number of people who need diabetic meals
Your answer
Specific Dietary needs
Your answer
Other needs
Your answer
Total Due
Seating will be assigned with PAID registration
Your answer
Submit
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