Peace River Baptist Association
Tuesday, December 18, 2018

2018 Women's Retreat Registration Form

                                                           
                                                                               #2knowHim                                        
                                             2018 WOMEN’S RETREAT REGISTRATION FORM
                                                                          Sept. 27-29, 2018
                                                     Lake Placid Camp and Conference Center

Church:__________________________________________________Date:__________________________

Church Leader:_________________________________________Cell Phone:_________________________

Email:________________________________________             Text:  Yes     No    (please circle one)

Please state your.....................1st Housing Choice ____________________________

                                                      2nd Housing Choice____________________________

1 Name:____________________________________________Email_________________________________

Deposit Amt Paid:__________  Balance Due:__________  Ck#_______Cash_______

2 Name:____________________________________________Email_________________________________

Deposit Amt Paid:__________  Balance Due:__________  Ck#_______Cash_______

3 Name:____________________________________________Email_________________________________

Deposit Amt Paid:__________  Balance Due:__________  Ck#_______Cash_______

4 Name:____________________________________________Email_________________________________

Deposit Amt Paid:__________  Balance Due:__________  Ck#_______Cash_______

5 Name:____________________________________________Email_________________________________

Deposit Amt Paid:__________  Balance Due:__________  Ck#_______Cash_______

6 Name:____________________________________________Email_________________________________

Deposit Amt Paid:__________  Balance Due:__________  Ck#_______Cash_______


Pre-registration ~ $25 per person

Balance Due ~ August 20, 2018

Please make checks payable to “Peace River Baptist Association”

Mail registration forms along with the deposits / or balance to:
Peace River Baptist Association
30275 Beech Road
Punta Gorda, FL 33982.