2024 Kingdom Minded Men's Retreat

June 21, 2022 | Please fill out this form and click submit.

Name

*

Email

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Phone

*

Address

Roommate

*

Do you require the first floor?

Please select all that apply.

Yes

Registration Costs Include one nights stay, 3 meals and a t-shirt.

Single Occupancy: $130.00
Double Occupancy: $111.00
Triple Occupancy: $105.00
Quad Occupancy: $98.00
Meals Only: $60.00

Full refunds are avialable until June 7th. A $50 non refundable deposit will be forfieted after June 7th. No refunds after June 19th.

Choose One

*

Please select one option.

Single Occupancey Double Occupancy Triple Occupancy Quad Occupancy Meals only $50.00

T-shirt size

Please select all that apply.

Large XLarge 2X 3X 4X

Payment

Pay at door (0) Deposit ($50.00) Single Occupancy ($130.00) Double Occupancy ($111.00) Triple Occupancy ($105.00) Quad Occupancy ($98.00) Meals Only ($60.00)

Amount

official use only

Guest ID

Room Number

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

June 21, 2022

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