FBC Women's Retreat 2017 Registration Form
Blackrock Retreat Center - October 13-15, 2017
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Occupancy (Per Person; Includes Meals)
Please Check One
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First Name
Your answer
Last Name
Your answer
Street Address
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City/Town
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State
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Zip
Your answer
Home Phone (if applicable)
Your answer
Cell Phone (if applicable)
Your answer
Email (if applicable)
Your answer
Emergency Contact Name
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Emergency Contact Telephone
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Emergency Contact Relationship
Your answer
Roommate(s): First Name, Last Name
Your answer
Handicapped Room Needed
Interested in Driving?
Interested in Being Driven?
Do you wish to contribute towards the scholarship fund to help another lady attend the retreat? If so, please indicate your gift amount in the box below.
Your answer
PLEASE READ THIS IMPORTANT INFORMATION:
A $50 deposit is required to secure your spot (due ASAP).
ONLINE PAYMENT INFORMATION: Go to www.aboutfbc.org/give and go to the bottom right of that page - enter in your room fee, click 'GO' and you can process your credit card payment through Easy Tithe. PLEASE MAKE SURE YOU DESIGNATE YOUR MONEY TO THE WOMEN'S RETREAT IN THE DROP DOWN MENU (see picture below).
Easy Tithe Example Screenshot:
TO PAY BY CHECK: Please bring your check to the Women's Ministry table in the foyer on Sunday, or you can drop your check (in an envelope labelled 'Women's Retreat') in our secure dropbox located outside the main office.
PLEASE MAKE SURE YOU CLICK 'SUBMIT' BELOW
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