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SPRING RETREAT 2007 - REGISTRATION FORM

The weekend of the retreat will be May 18-20, 2007 at the Burlington Friends Meeting Conference Center in Burlington, New Jersey. Please join us!

Please make checks payable to Witness for Peace-MidAtlantic. Send checks to:

Witness for Peace-MidAtlantic
94 Harlow Circle
Lower Gwynedd, PA 19002.

Note: You can either send the total amount you compute at the bottom of the form, or a deposit of $45 to hold the space for you.

I. PERSONAL DATA

  1. Name:
  2. Address: ( )
    City:
    State:
    Zip:
  3. Telephone (day) (evening)
  4. Email:

II. FEES

Meals at the retreat will be provided on Saturday only (Breakfast, Lunch & Dinner).

Please note that if you are coming only for the program on Saturday and don't plan to spend the night with us, you will still need to pay for one night's lodging, as that is the way the Center charges us.

Please fill in the number of people for each of the following options and the total dollar amount for each category (change the values in the boxes as appropriate):
Item TOTAL
Program Fee (Saturday only) @ $30/person $
Program Fee (low Income) @ $0.00: $
Meals for Saturday @ $20/person: $
Overnight Lodging @ $25/person per night: for Fri., for Sat. $
I would like to contribute to scholarships for the retreat. $

Grand total sent by check to the address above

$