Gentle Woman, Quiet Light
Registration Form
Address: _______________________________________________
City:
Phone: day) ___________________ (evening) _________________
E-mail: _______________________ (fax) _____________________
Retreat: May 1st – 4th: Check in begins at 4 PM, May 1, 2008: Check out 11:30 Sunday, May 4, 2008.
Christ the
Cost per person: $475 includes room and meals, all materials, and retreat.
Double occupancy rooms are all that are available at retreat center.
Name(s) of additional person(s): _______________________________
_____________________________________________________
Requested roommate: _______________________________________
Method of payment:
( ) Check or money order $__________________ (
Made payable to: Rebecca J. Benes
( ) Visa ( ) MasterCard $_________________
Name on Card: ________________________________ Zip: _________
Card #: ____________________________Exp. ______ 3 digit SC:____
Signature required ______________________________date ________
Cost does not include air transportation, ground transportation to and from airport and retreat center. $200 due upon registration. Final payment due on or before by March 15, 2008. Refund and/cancellation must be made in writing and received by April 1, 2008. Refunds less a $25 cancellation fee will be made within 15 days of receipt of your written notice of cancellation. No refunds after April 1, 2008.
Contact Phone: Becky 325-949-1450: Mail form to:
Becky Benes, 3222 Alta Vista,
Or e-mail form to: