North American Division Ministerial Association : Lindenwood Registration Form

Lindenwood Registration Form

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Women Clergy Retreat Registration Form
Walla Walla, WA
April 2009

Name:

Address:

Email Address:

Home Phone:

Cell Phone:

Work Phone:

All rooms double occupancy – Roommate name requested:

(If no roommate indicated, we will designate)

I need shuttle service from the

I need shuttle service from

$200 check must accompany this form to be officially registered for the retreat

Print form and send with $200.00 check to:

Please make check out to NAD Ministerial

Mona Karst

NAD Ministerial Asociation

12501 Old Columbia Pike

Silver Springs, MD 20904

Please bring a casual outfit you will not mind getting dirty