Online Registration Form - please complete entire form

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Use this electronic form if you are submitting your payment online.  
I am a: 

First Time Retreat Attendee?     

Select Appropriate Age Group:   

You may pre-order Retreat Items with this form.  Payment must be made at time of order.  All orders must be made by April 15, 2018.

Adult T-ShirtSize/Quantity:

Adult T-ShirtSIze/Quantity:

Adult LS T-Shirt  Size/Quantity:

Adult LS T-Shirt  Size/Quantity:

Children's T-Shirt Size/Quantity:

Cinch Sack - Quantity:
Tote Bag - Quantity
Zippered Tote - Quantity
Laptop Bag - Quantity

If items are ordered after the deadline, there is no guarantee your order will be filled.  These items will also be on sale at the retreat. 

Adult T-Shirt S - $8.50
Adult T-Shirt XL-XXXL - $10.00
Adult Long Sleeve T-shirt S-L - $12.00
Adult Long Sleeve T-shirt XL-XXXL - $14.00
Child T-Shirt S-L - $6.50
Cinch Sack - $8.00
Tote Bag $ - 7.00
Zippered Tote - $10.00
Laptop Bag - $15.00

Each registrant will receive one FREE T-shirt.  Please indicate your size for your one FREE T-shirt
Annual Christian Women's Retreat
A Ministry To Women, For Women, By Women
Lifetime Member