Couples Retreat Registration

Bethel Couples Retreat Registration March 2-4, 2012

Date Submitted

Date:

Name

Room Type King Queen 2 Dbls

Special Needs

Deposit Due: 1st Night Room-$59.00 Due by Jan 25, 2012

Balance at checkout

Please send all deposit checks to Barbara Dresser

Direct all questions to barbara@dresser.cc or phone 704.896.2695

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